Member Certification Specialist jobs in Birmingham, AL

This is a great opportunity to join our Alabama Oncology team at our St. Vincent's Birmingham Location!

Description:

The Pre-Certification Specialist is responsible for scheduling scans and diagnostic tests and obtaining the proper approvals for the patient. Performs a variety of duties related to obtaining pre-authorization required by insurance companies for radiology scans and scheduling the scans for patients. Duties will be clerical tasks involving faxing, completing forms, maintaining a patient database, monitoring pre-authorization process to assure they are obtained. The position requires strong organization skills, attention to detail and customer service skills. This individual will be expected to satisfy internal and external customer’s perceived needs.

Essential Duties and Responsibilities:

· Schedule Radiology Scans

· Obtain pre-certifications required by insurance carriers

· Communicate with clinical staff regarding status and certification completion

· Communicate with patient required forms

· Notifies patient of appointment details

· Other duties as assigned

Additional Skills and Abilities:

· Ability to adapt to a changing work environment and meet challenges presented throughout the day.

· Exceptional interpersonal skills and ability to provide outstanding customer service to internal and external stakeholders.

· Independent problem-solving ability.

· Demonstrates the ability to manage multiple tasks simultaneously.

· Displays excellent verbal and written communication skills.

· Critical thinking skills.

· Ability to analyze information and data and translate into action items.

· Literate in (or willingness/ability to learn) MS Excel, Word, and Powerpoint