Pre Cert Specialist
Pre Cert Specialist
Posted on :
05-06-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
05-06-2025
Job Description
Are you looking to expand your career within the healthcare industry Dayton Physicians Network is looking to add a Pre Cert Specialist to our Revenue Cycle team.
Upon completion of training this position will be eligible to work from home coming into the office as needed. Must live in the state of Ohio in order to work from home.
Summary:
Pre-Cert Specialist contacts patient insurance companies to obtain precertification for requested diagnostic testing and relay this information to the patient as well as documenting the certification in the computer system.
Schedule:
Monday - Friday 8:00am to 4:30pm eight hour shifts
No evenings weekends or holidays!
Work/life balance schedules!
Why work for Dayton Physicians Network
- Full-time employees are eligible for health dental and vision benefits
- Company holidays and a flexible holiday!
- Generous Paid Time Off (PTO) Package
- Additional accrual increase after 1 year of service with Dayton Physicians!
- 401K
- Yearly Bonus Program
- Dayton Physicians Network as an Independent Practice<--- Watch video here!
DPN Core Value Expectations:
TheCARESmodel reflects the principles that guide our day-to-day behaviors; our decisions our actions and our relationships with each other and with the patients and families we serve. All DPN employees are expected to embrace and demonstrate the following:
- COMPASSION: the patient is at the center of all we do
- ACCOUNTABILITY: we hold ourselves accountable for our actions
- RESPECT: we show respect for others
- EXCELLENCE with Innovation: we strive for excellence in all we do
- SERVICE through Collaboration: we provide service to our patients team members and community.
Additionally as DPN is a service-oriented organization All DPN employees are expected to embrace and demonstrate the following when interacting with patients employees and other customers:
- Smile make eye contact and greet with energy!
- Restate what you are hearing. Listen patiently and compassionately to complaints. Our patients and families are likely going through a difficult time. Irritability on their part is not about you.
- Give full attention. Turn away from the computer screen and face the person you are conversing with.
- Explain any potential delays in service and provide frequent updates.
- Empathize (feel empathy for someone)
Essential Duties and Responsibilities:
- Contacts insurance companies to obtain pre-certification of requested diagnostic testing treatments and/or surgeries;
- Documents the certification in the computer system
- Notifies the provider and other appropriate staff when medical review is required;
- Notifies the provider and other appropriate staff when pre-cert is completed;
- Communicates situations projected to result in a non-covered balance;
- Answers incoming calls in a professional tone of voice;
- Listens attentively to ensure accurate response;
- Follow all health care privacy and safety rules;
- Other duties as assigned.
Supervisory Responsibilities:
Not applicable
Required Education and/ or Experience:
- High School Diploma or GED. At least one (1) year of previous experience working in a Medical Office 2-3 years medical pre-certification experience is preferred.
General Skill Requirements:
- Excellent oral and written communication
- Working knowledge of Microsoft Office including Word Excel and Outlook.
- Experience working with a Practice Management system.
- Attendance and punctuality are essential requirements of this position to provide excellent customer service to both our internal and external stakeholders.
Required Experience:
Unclear Seniority
Employment Type
Full Time
Key Skills
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