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Precertification Specialist

Job ID: 163045
Category: Clerical/Administrative
Work Type: FT
Location: Philadelphia, PA, United States
Date Posted: Nov 22, 2022
Work Schedule: Variable

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Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Department: Access Center

Location: 1500 Market Street, Philadelphia, PA

Summary:

This position is responsible for obtaining pre-certification and referrals. The employee will ensure access to integrated health
care and achieve clinically appropriate authorization to assure optimal reimbursement for the hospital for services provided.
The position will ensure financial security of Infusion services, including verification of benefits, ensuring medical necessity
coverage, order compliance, and obtaining needed precertification and referrals. The role also includes charge entry for
infusion services performed.

    Education or Equivalent Experience:

    H.S. Diploma/GED And 4+ years' experience holding a position of responsibility for physician billing operations and accounts receivable management.



      We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

      Live Your Life's Work

      We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

         Current UPHS employees must apply HERE
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