Pre-Certification Clerk (SGR), Day Shift, Non-Acute Pre-Services

Pre-Certification ClerkAdventist HealthCare seeks to hire an experienced Pre-Certification Clerk for our Pre-Services Revenue Cycle department 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 Workers' Compensation, Accident, or Personal Injury cases, along with obtaining pre-authorization for all MRI, CT, Bone Density, and any radiology exams that require pre-authorizationProcess incoming calls regarding these casesMaintain a professional attitude when speaking with payers, vendors, and agencies representing Adventist HealthCareInform the front desk if a patient is coming for a procedure, if a co-payment, co-insurance, or deductible needs to be collected, or if there is an authorization or file for the patientCollect and obtain any clinical information needed to secure a pre-authorization for the patient's scheduled proceduresStay up to date on insurance protocols and inform the manager on any changes regarding authorization proceduresEnter relevant information in the comments needed to assist the patient with obtaining the clinical information needed to secure pre-authorization or patient check-inOffer advice on how to obtain necessary authorizations/referrals or reschedule the patient (if needed)Qualifications include:High School Diploma or GED required1-2 years of customer service experience1-2 years of medical office experienceWork Schedule:8:30 am-5:00 pmPay Range:$20.51 - $27.21Under the Fair Labor Standards Act (FLSA), this position is classified as:United States of America (Non-Exempt)At Adventist HealthCare our job is to care for you.We do this by offering:Work life balance through nonrotating shiftsRecognition and rewards for professional expertiseFree Employee parkingMedical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hireEmployer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)Paid Time OffEmployer retirement contribution and match after 1-year of eligible employment with a 3-year vesting periodVoluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insuranceSubsidized childcare at participating childcare centersTuition ReimbursementEmployee Assistance Program (EAP) supportAs 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!Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.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.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. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.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.