Pre-Certification Associate

  • location: Washington, DC
  • type: Contract
  • salary: $25 per hour
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description

Pre- Cerification Associate

NW, DC

Temp to Hire

$25/hr

PRIMARY FUNCTIONS:

  • Verifies eligibility and insurance benefits by contacting insurance companies and employers to determine necessity for advance deposits, co-payments and deductibles.
  • Identifies payor needs and information deficits, and coordinates the provision of information to facilitate reimbursement.
  • Obtains insurance referrals and pre-authorizations.
  • Submits all referral information to necessary providers, as appropriate.
  • Interviews candidates to determine their insurance coverages and potential eligibility for insurances/programs to expedite payment for Transplant services; ensures the completion of appropriate documents to assist in obtaining reimbursement.
  • Develops and updates resource lists for assisting patients with insurance choices, including: COBRA, Social Security disability, retirement and new employment.
  • Assists patients with inquiries regarding financial/insurance issues through data collection, assessment and follow-up activities.
  • Identifies appropriate resources to handle problems and complaints effectively.
  • Assists with pre-authorizations of hospital admissions, procedures, medications and medical equipment.
  • Responds to hospital staff and/or patient inquiries regarding referrals, authorizations and scheduling in an efficient manner.

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