Pre Authorization Rep - CommonSpirit Health

Mountain Management Services 

CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.

We care about our employees’ well-being and offer benefits that complement work/life balance.

We offer the following benefits to support you and your family:

Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needs

Employee Assistance Program (EAP) for you and your family

Health/Dental/Vision Insurance

Flexible spending accounts

Voluntary Protection: Group Accident, Critical Illness, and Identity Theft 

Adoption Assistance

Paid Time Off (PTO) 

Tuition Assistance for career growth and development

Matching Retirement Programs

Wellness Program

If you are passionate about the patient experience and ready to join our nationally recognized hospital, connect with us today!

This position is responsible for identifying and verifying the eligibility/benefits information for the patient’s visit. 

• Enters insurance data into the computer and keeps patient accounts updated.
• Enter and maintain insurance companies data
• Obtains necessary referral numbers for HMO and PPO plans.
• Process benefit correspondence
• Coordinates record requirements with office managers as dictated by 3rd party payers
• Initiate pre-cert for patients when required, obtaining precertification reference number, and utilization review company contact person and telephone number
• Maintains patient and associate privacy and confidentiality.
• Performs other duties as assigned.
• Performs collection functions and financial assistance for payment methods
  
• Collect point of service payments or link to financial assistance programs
  
• Counsels patients regarding their third-party coverage, financial responsibility, and billing procedures
  
• Must be capable of articulating information in a courteous, clear and informative manner to patients, guarantors, family members, clinical staff, other hospital personnel, vendors, physicians, and their office staff

Required Education:     

• High school education or GED

Preferred Experience:   

• Six months to one year insurance or related work experience preferred
• Six months to one year experience in a medical office preferred