Pre-Authorization Analyst- Centralized Scheduling

Full time position in the Centralized Scheduling Dept.

Responsible for performing all functions necessary to obtain verification and pre-certification on all scheduled patients through EEDI. Accountable for accuracy of all insurance benefits/pre-certification information prior to scheduling a patient.

Essential Duties & Responsibilities:

• Follows departmental policies and procedures and explains to patients and/or family as needed.
• Assists with the training of new employees as needed.
• Answers basic insurance questions and /or refers appropriately as necessary.
• Verifies and pre-certifies insurance according through EEDI.
• Works in close cooperation with Physicians offices making appropriate patient referrals as necessary.
• Documents all activity relative to the account in EEDI
• Maintains good communication with physicians and staff to promote a good working relationship.
• Demonstrates a clear understanding of insurance pre-certification requirements.
• Enters all relevant Insurance benefits and Pre-certification information into computer.
• Demonstrates a basic understanding of Medicare, Medicaid, HMO and PPO rules, regarding pre-certification requirements.
• Works in conjunction as part of the Centralized Scheduling department.

Education: High School Diploma/GED required.

Experience: 1 year experience in Scheduling/Admissions

Additional Experience Preferred: Medical Coding and Medical Terminology