Registration Precert Clerk, Marshall Medical Centers

Overview

The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position.

Position Summary: A Precert Rep is placed inside a high volume Call Center to schedule and pre-authorize diagnostic testing. Their daily routine varies depending on the needs of the department. They ensure that imaging procedures are scheduled correctly and are authorized in accordance with payer requirements to support timely patient care, reduce denials, and maintain compliance with hospital and insurance guidelines.

Primary Responsibilities:

• Schedules patients at physician request for diagnostic services
• Verifies insurance coverage for services as well as whether a pre-auth is required – obtaining the pre-auth as needed
• Communicates appointment information and preparation instructions to patients
• Communicates with referring providers to ensure all clinical documentation needed is available at time of appointment
• Maintains requested statistics, clinical documentation, and reports

This position requires, at minimum, a high school diploma or GED. Prior experience in the healthcare environment and/or customer service is preferred. A working knowledge of computers and systems to include Microsoft Word, Excel, and Outlook are necessary. This position requires the ability to communicate in a pleasant, professional, concise, and caring manner. It also requires critical thinking and problem solving to ensure the best care possible for our patients.

Lake Guntersville, a mountain-lakes jewel, is located approximately 30 miles from metro Huntsville – and is home to Marshall Medical Centers.

Marshall Medical Centers
, an affiliate of the Huntsville Hospital Health System, serves the residents of Marshall County and the surrounding area (population approximately 125,000). With two hospitals, eight outpatient locations and a highly-trained team of physicians practicing 28 specialties, Marshall Medical is a confident, convenient choice for local healthcare. Residents can remain close to home and receive excellent care – often provided by those who are neighbors and friends.

Marshall Medical Center South is a 150-bed hospital in Boaz, Alabama, and opened in 1956.
Marshall Medical Center North
, in Guntersville, opened in 1990 – and – is a 90-bed facility. In addition to the two hospitals, the Gary R. Gore Medical Complex is conveniently located mid-county and is home to several outpatient clinics and a 22,000 square foot comprehensive Cancer Care Center.

Named by the Joint Commission as a “Top Quality Performer” among America’s hospitals, Marshall Medical Centers’ patients can be assured they are being treated in an environment where a premium is placed on quality and best practices.