If you’re interested in being a part of a progressive, team-focused, physician-led organization committed to personalized and exceptional patient care, Ascentist Healthcare could be the place for you.

We’re growing rapidly and we’re seeking motivated, customer oriented, passionate coworkers to join us. We’re currently seeking a Precertification Specialist Lead at our Overland Park, KS office.

In addition to the Precertification Coordinator responsibilities, the lead will support the leadership team with assigned clerical tasks and maintain a supportive role developing training materials, and training. Accurately complete all surgical orders based on allocated time and potential conflicts. Responsible for assisting with paperwork distribution including preop/postop instruction, ABNs, and non-coverage forms. Verify the accuracy of surgical orders and submitting to the facility. Handles the verification of insurance coverage including eligibility, benefits, authorization submissions/determinations, and appeals. Responsible for communicating with patients, physicians, and facilities authorization information for procedure. Acts as a liaison between the clinical team and patients, facilities, and insurance companies, You will also perform a variety of tasks in support of daily operations, including, but not limited to:

• Promotes the mission, vision, and values of the organization
• Support the Precert Leadership team with tasks
• Create training materials for the department
• Assist department with questions as another contact
• Complete orders to verify coding accuracy and other pertinent fields.
• Accurately schedules all surgical procedures, based on allocated time and potential conflicts. Confirm surgery is scheduled on the physician's schedule.
• Follows up with referrals and outbound orders to confirm scheduled and received.
• Acquires information on procedures scheduled and communicates this information on orders provided to facility or directly to facility.
• Contact the facilities for weekly case confirmations Adjust time accordingly on physician schedule and confirm authorization has been complete.
• Assists in preparation of distribution of clinical paperwork for upcoming procedures including preop/postop instructions, facility pamphlets, ABNs, and non-certified coverage forms.
• Answers telephones, route calls, takes messages and provides general information.
• Confirms insurance card matches insurance data entry and the surgical facility is in network with the plan.
• Perform insurance eligibility verification and benefit checks with documentation to reflect policy is effective, procedure is covered, and what the professional benefits are.
• Performs pre-certification inquiries and process authorizations for all patients and notifies them of authorization and answers benefits questions.
• Informs physician team of denials with reasonings and provides the options provided by insurance companies.
• Submits for pre-service appeals on denied auths. Job Description
• Initiates corrective action as necessary to ensure accuracy and completeness of administrative information.
• Help coordinate estimate requests when requested by the patient.
• Maintain and organize clinic spreadsheets to prioritize orders and perform daily checks to ensure orders are accounted for.
• Assist in medical policy research and simplify criteria research for clinical teams.
• Copy, file, and/or scan and save materials as requested.
• Documents concisely, precisely, and accurately on all records or documents as indicated by policy.
• Maintains confidentiality of patient and Center related business.
• Regular, physical attendance on a predictable basis is essential to the performance of this job.
• Assists in both day-to-day and special projects and performs other duties as assigned.
• Follows established company policy and procedures.
• Maintains knowledge of and comply with established policies and procedures.
• Participates in department and clinic meetings as well as professional development activities.
• Understands HIPAA regulations and maintains the strictest confidentiality at all times. Has read and understands the company’s HIPAA Privacy Policy.
• Complies with all regulatory requirements including OSHA, HIPAA, Ascentist Policies and Procedures and Ascentist Employee Handbook.
• Works within a team to perform this role, cross train, support other team members in their task.
• Perform other job-related duties as assigned/necessary.

Qualified candidates will possess a High School Diploma or equivalent and a minimum of one year of medical records/health information experience plus proven communication skills with the ability to convey written and verbal information accurately and effectively

Other key qualifications include:

• Demonstrates effective listening skills, taking the time to understand the points being made, asking questions as appropriate and refraining from interrupting until appropriate
• Ability to compose, type and assemble information in proper business form, including the ability to type at least 40 words per minute
• Proven ability to work concurrently on multiple projects with varying priorities in a fast paced, dynamic environment
• Proven record in attendance, demonstration of reliability and dependability in prior roles Ascentist – Lead Precertification Specialist Job Description
• Strong interpersonal and communication skills with the ability to work effectively with a wide range of constituencies in a diverse community
• Demonstrates effective time management with the ability to plan and organize work, adjust schedule and duties as requested and work overtime as needed
• Demonstrates a high level of motivation, accountability, and ownership,
• Demonstrates discretion and excellent judgment with the ability to solve problems creatively
• Demonstrates friendly, personal, and timely customer service skills
• Demonstrates proficiency using computer, software, and Internet Technologies (Outlook, Word, Excel, Internet Explorer, Windows)
• Demonstrated ability to effectively use general office equipment including phones, fax machines, copiers, and other similar office technology on a regular basis
• Demonstrated ability to maintain accuracy and attention to detail in an ever-changing environment.
• Demonstrated ability to maintain confidentiality in performance of essential functions
• Demonstrated ability to speak, read, write, and understand English, as the primary language of patients calling and requesting information and/or services from the organization.
• Ability to pass a background check
• Understanding of and ability to comply with all regulatory requirements including OSHA, HIPAA, Ascentist Policies and Procedures and Ascentist Employee Handbook

Desirable Qualifications include two years of experience and/or training in a similar role, knowledge of medical terminology and/or the ability to speak and understand other languages.

At Ascentist Healthcare, we believe in taking care of our people. We offer a comprehensive total rewards package including a 401(k) plan with a company match, medical, dental and vision benefits plus other options to benefit you and your family such as Health Savings Accounts, Critical Illness, and Short- & Long-Term Disability. Ready to be a part of a progressive, patient focused organization, Apply today to join the Ascentist team!.

Ascentist Healthcare is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.