Pre-Certification Clerk (SGR)

Germantown, MD
Mar 13, 2019
Apr 01, 2019
Customer Service
Full Time
Shady Grove Radiology

If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. 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.

Adventist HealthCare seeks to hire a Pre-Certification Clerk who will embrace our mission to extend God's care through the ministry of physical, mental and spiritual healing. 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.

Pre-Certification Clerk:
The Pre-Certification Clerk is responsible for the primary function of requesting pre-authorization and obtaining clinical notes (if necessary), to obtain the pre-authorization for patients to receive imaging services. They assist with the verification/ coordination of pre-authorization for worker's compensation claims, accident or personal injury cases MRI, CT, Bone Density, and any radiology exams requiring pre-authorization. They process incoming calls regarding worker's compensation claims, inform the front desk if a patient is coming for a procedure if a co-payment/co-insurance is required, if the deductible is needed, or if there is an authorization in the patient's file. They inform the patient if there are problems with obtaining authorization for procedures. Offer advice on how to obtain necessary authorizations/referrals or reschedule the patient (if needed).

Qualified candidates will possess:
•\tHigh school diploma or GED equivalent
•\t1-2 years medical office experience preferred
•\t1-2 years customer service experience preferred
•\tMedical terminology or radiology terminology background
•\tAbility to maintain a professional attitude when speaking with payers, vendors, and agencies representing AHC.
•\tCurrent knowledge of insurance protocol
•\tBasic PC skills such (e.g. Windows, Microsoft Office)
•\tMust be able to type a minimum of 35 w.p.m.
•\tAbility to use standard office equipment (i.e. copier, fax, printer)
•\tExcellent customer service skills
Work Schedule:

Full-Time, Day Shift

At Adventist HealthCare our job is to care for you. We do this by offering:

  • Work-life balance through non-rotating shifts
  • Recognition and rewards for professional expertise
  • Free Employee parking
  • Competitive comprehensive benefit plans offered (including health, disability, PTO and 403B retirement plan with matching and 3 year vesting)
  • 100% Coverage for inpatient care - at Adventist HealthCare facilities
  • 100% Coverage for urgent care nationwide - after copay

Join the Adventist Healthcare team today! Apply now to be considered.

Tobacco 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 use.

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine). Those testing positive for cotinine 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. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.