The NeuroMedical Center Clinic

Multidisciplinary neuroscience care and spine surgery

Precertification Clerk

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeBaton Rouge, LA, USANo salary listedIn-person

About the Job

Responsibilities

Precertify all services ordered by physicians by completing required information using online systems, fax, or telephone.
Prioritize precertification requests according to the upcoming service date and insurance requirements.
Follow up on precertification requests in a timely manner to ensure completion, aiming to complete them 3–5 days before the service when possible.
Notify the Clinical Supervisor and Medical Assistant/LPN via the electronic medical record denial form when services are not approved.
Communicate with clinical staff about additional information needed to obtain authorization.
Document the authorization number in the patient’s account in the practice management system after precertification is obtained.
Answer phone calls related to outstanding precertifications.
Perform other duties as assigned by management.

Description

GENERAL SUMMARY OF DUTIES: Precerts and documents all services ordered by the Physicians at The NeuroMedical Center. Verifies benefits of patients with insurance companies if necessary.

Requirements

TYPICAL POSITION DUTIES: (This list is not intended to be an exhaustive list of all duties required to be performed by the incumbent in this position. The contents are subject to change at management’s discretion.)

Pre-certs all services ordered by the Physicians at The NeuroMedical Center by completing all required information. Precerts are done online, via fax, or over the telephone.
Pre-certs are prioritized according to the upcoming date of service and insurance requirements.
The Precert clerk is responsible for following up on the precert requests in a timely manner to ensure the Precert process is completed. The precerts should be done for 3-5 days ahead at all times when possible.
If the services are not approved, the Clinical Supervisor and Medical Assistant/LPN are notified via EMR denial form. If the decision is made to cancel the appointment, the Clinical area employee is responsible for notifying the patient and cancelling the appointment in the system.
Communicate with clinical staff regarding additional information that may be needed to obtain authorization.
After the precert has been obtained, the authorization number is documented in the patient’s account in the practice management system.
Answers all phone calls related to outstanding precerts.
Performs various other duties as assigned by management.

About the Company

The NeuroMedical Center Clinic

Multidisciplinary neuroscience care and spine surgery

The NeuroMedical Center Clinic is a physician-owned neuroscience network in Baton Rouge that combines neurosurgery, neurology, physical medicine and rehabilitation, interventional pain management, neuropsychology, and neuroradiology to treat brain, spine, and nervous system conditions. It uses a care continuum from outpatient evaluation to surgery and inpatient rehabilitation at its main campus and satellites, supported by tools like 3T MRI and procedures such as minimally invasive robotic-assisted spine surgery and Deep Brain Stimulation. Its edge comes from an integrated, multidisciplinary team and in-house facilities including The Spine Hospital of Louisiana and The NeuroMedical Center Rehabilitation Hospital, all under one roof and physician-owned. The goal is to improve patient outcomes across Louisiana by connecting specialists, advanced technology, and rehabilitation services for comprehensive neurological care.

Company size: Not listed
Company stage: Not listed
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