Pre- Certification Rep - Full Time Days

Directly responsible for obtaining appropriate treatment authorizations from payers for outpatient surgeries, outpatient diagnostic services, observation patients and potential direct admits. Follows Patient Financial Services policies to achieve maximum reimbursement while promoting excellent relationships with clinical departments, patients, physicians, physician offices, payers, and employers.

Directly responsible for obtaining appropriate treatment authorizations from payers for outpatient surgeries, outpatient diagnostic services, observation patients and potential direct admits. Follows Patient Financial Services policies to achieve maximum reimbursement while promoting excellent relationships with clinical departments, patients, physicians, physician offices, payers, and employers.

Grandview Medical Center, a 434-bed regional referral center and tertiary-care facility, is located in Birmingham, Ala., and is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Grandview Medical Center offers programs and services in all medical and surgical areas, including Cardiology, Oncology, Neurology, Women's Health, Mental Health, Digestive Diseases, Orthopedics, Physical Medicine and Rehab, Sports Medicine and Emergency Care. There are more than 600 physicians on the Grandview medical staff representing 30 specialties and subspecialties. The hospital has been named an accredited program for Metabolic and Bariatric surgery by ASMBS & ACS as well as an accredited chest pain center. Grandview Medical Center provides equal employment opportunity to all employees and applicants for employment regardless of any individual’s race, color, religion, sex, sexual orientation, gender identity, national origin, age, citizenship, military status, disability, genetic information or any other protected class status in accordance with applicable federal, state, and local laws.