Pre-Certification Clerk, Days, Eligibility and Financial Clearance

Location
Rockville, MD
Posted
Jan 25, 2023
Closes
Feb 03, 2023
Ref
R-024470
Industry
Healthcare
Hours
Full Time
Adventist HealthCare seeks to hire an experienced Pre-Certification Clerk who will embrace our mission to extend God's care through the ministry of physical, mental and spiritual healing.

As a Pre-Certification Clerk, you will:
•Assist with the verification and coordination of all pre-authorization for all Worker's Compensation, Accident or Personal Injury cases along with obtaining pre-authorization for all MRI, CT, Bone Density, and any radiology exams that require pre-authorization
•Process incoming calls regarding these cases
•Maintain a professional attitude when speaking with payers, vendors and agencies representing Adventist HealthCare
•Inform the front desk if a patient is coming for a procedure, in a co-payment, co-insurance, deductible needs to be collected, or if there is an authorization of file for the patient
•Collect and obtain any clinical information needed to secure a pre-authorization for patient schedule procedures
•Stay up to date on insurance protocols and inform the manger on any changes regarding authorization procedures
•Enter relevant information in the comments needed to assist the patient with obtaining clinical information needed to secure pre-authorization or patient check-in
•Offer advice on how to obtain necessary authorizations / referrals or reschedule the patient (if needed)

Qualifications include:
•High School Diploma or GED required
•1-2 years customer service experience
•1-2 years medical office experience

Work Schedule:

M-F 8:30am-5pm

At Adventist HealthCare our job is to care for you.

We do this by offering:
  • Work life balance through nonrotating shifts
  • Recognition and rewards for professional expertise
  • 403(b) retirement plan
  • Free Employee parking
  • Benefits Eligible Positions:
    • Competitive, comprehensive benefit plans [including health, employer-paid disability and life insurance, PTO]
    • Employer retirement contribution and match after 1-year of eligible employment with 3 year vesting
    • Ancillary benefits such as flexible spending, legal and pet insurance to meet the needs of employees and their eligible family members
    • Subsidized childcare at participating childcare centers


As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.

If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference.

Join the Adventist HealthCare team today, apply now to be considered!

COVID-19 Vaccination

Adventist HealthCare requires all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination and , if offered, may elect to be vaccinated at a n designated Adventist HealthCare location.

Tobacco and Drug Statement

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.

While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.

Equal Employment Opportunity

Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants' religious beliefs.

Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.