Pre-Certification Specialist - Financial Clearance

JOB TITLE: Pre-Certification Specialist

DEPT: Financial Counseling

LOCATION: Maury Regional Medical Center Plaza - Columbia, TN

SHIFT: PRN, as needed. Monday - Friday, 8am - 4:30pm

MAURY REGIONAL HEALTH:

At Maury Regional Health, patients are at the heart of everything we do. We're committed to clinical excellence and compassionate care, offering exceptional service. As a top-rated organization, we foster an inclusive, collaborative work environment where innovation and patient care lead the way.

JOB SUMMARY:

The Pre Service areas of technical competencies should include: Advanced knowledge of office equipment, computers, and insurance websites. Advanced knowledge of all healthcare insurance payers and authorization guidelines. Ability to communicate clinical documentation and insurance protocols for authorization. Create a positive impression for each patient, family member, visitor or staff while performing the tasks of scheduling and pre-certification. Schedule and obtain insurance pre-certification/pre-determination, and evaluate medical necessity compliance prior to patients receiving medical services, ensuring accuracy and timeliness. Obtain demographic information and validate insurance. Answer and provide resolution for any questions received from patients, visitors, and staff. Within scope of job, requires critical thinking skills, decisive judgment, effective oral and written communication skills, and the ability to work with minimal supervision. Must be able to work in a fast paced environment and take appropriate action.

JOB REQUIREMENTS:

* 3 Years of Related Healthcare Experience Required

* Associate's Degree Preferred

WHY MAURY:

* 2024 Best Place to Work & 2024 Best Place for Working Parents

* Medical, Dental, Vision, Retirement Plans & PTO

* Educational Assistance, Tuition Reimbursement & Career Advancement Navigation

* Employee Discounts

* Childcare Services - Hospitots

* Adoption Assistance

For more information: About Maury Regional Health

MISSION, VISION & VALUES:

MISSION: Clinical excellence. Compassionate care. Every patient. Every day.

VISION: To be the trusted choice for health and wellness in southern Middle Tennessee by delivering a safe, seamless and patient-centered experience.

VALUES:

W - Wholeness: Wellness-centered care of mind, body & spirit for our patients & health care team.
E - Empathy: Understanding the feelings of others as we walk with them on their path to wellness.

C - Community: Creating relationships, connections & trust.
A - Advocacy: Defending the rights of all to be heard.
R - Respect: Treating everyone with dignity & respect.
E - Equity: Providing each individual a fair opportunity to achieve their full potential.

STRATEGIC ANCHORS:

* Quality patient care

* Highly effective teams

* Stewardship of resources

* Innovative culture

Maury Regional Health is committed to the principles of Equal Employment Opportunity in all aspects of the employer/employee relationship. Maury Regional Health grants equal employment opportunities to all qualified persons without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), national origins (including ancestry), genetic information, disability, age, military/national guard/veteran status, sexual orientation, gender identity, or gender expression, or other status protected by state or federal law. Statements made by applicants for employment on this application form will be checked for accuracy. Maury Regional Health campuses are tobacco-free. All tobacco use is prohibited.