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Adventist HealthCare · 2 days ago

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

Gaithersburg, MD

Full-time

Onsite

Entry Level

$20.51/hr - $27.21/hr

1+ years exp

Adventist HealthCare is a faith-based organization known for high-quality, compassionate care in the Maryland area. They are seeking an experienced Pre-Certification Clerk to support their Pre-Services Revenue Cycle department by verifying and coordinating pre-authorizations for various medical cases.

Health CareHome Health CareHospitalNon ProfitRehabilitationWellness

H1B Sponsor Likely

Responsibilities

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-authorization

Process incoming calls regarding these cases

Maintain a professional attitude when speaking with payers, vendors, and agencies representing Adventist HealthCare

Inform 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 patient

Collect and obtain any clinical information needed to secure a pre-authorization for the patient's scheduled procedures

Stay up to date on insurance protocols and inform the manager on any changes regarding authorization procedures

Enter relevant information in the comments needed to assist the patient with obtaining the clinical information needed to secure pre-authorization or patient check-in

Offer advice on how to obtain necessary authorizations/referrals or reschedule the patient (if needed)

Qualification

Customer service experienceMedical office experienceProfessional attitudeCommunication skillsTeam collaboration

Required

High School Diploma or GED required

1-2 years of customer service experience

1-2 years of medical office experience

Benefits

Work life balance through nonrotating shifts

Recognition and rewards for professional expertise

Free Employee parking

Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire

Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)

Paid Time Off

Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period

Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance

Subsidized childcare at participating childcare centers

Tuition Reimbursement

Employee Assistance Program (EAP) support

Company

Adventist HealthCare

Glassdoor3.3

Adventist HealthCare is an integrated, health-care delivery organization.

Founded in 1907

Gaithersburg, Maryland, USA

5001-10000 employees

https://www.adventisthealthcare.com

H1B Sponsorship

Adventist HealthCare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (25)

2024 (11)

2023 (6)

2022 (23)

2021 (15)

2020 (12)