Pre-Certification Clerk (SGR), FT

Adventist Healthcare seeks to hire an experienced Pre-Certification Clerk for our Imaging Services who will embrace our mission to extend God's care through the ministry of physical, mental and spiritual healing.

As a Pre-Certification Clerk you will:
• Be responsible for the primary function of requesting pre-authorization and
obtaining clinical notes (if necessary), to obtain the pre-authorization for
patients to receive imaging services.
• They assist with the verification/ coordination of pre-authorization for worker's
compensation claims, accident or personal injury cases MRI, CT, Bone
Density, and any radiology exams requiring pre-authorization.
• They process incoming calls regarding worker's compensation claims, inform
the front desk if a patient is coming for a procedure if a co-payment/co-
insurance is required, if the deductible is needed, or if there is an authorization
in the patient's file.
• They inform the patient if there are problems with obtaining authorization for
• Offer advice on how to obtain necessary authorizations/referrals or
reschedule the patient (if needed).
• Schedules and reschedules patient appointments when needed from the
scheduling phone queue or incoming phone calls.
• Maintains patient confidentiality and complies with HIPAA guidelines.
• Performs related work as required.
• Positive and courteous customer Service.

Qualified candidates will possess:
• High school diploma or GED equivalent
• 1-2 years medical office experience preferred
• 1-2 years customer service experience preferred
• Medical terminology or radiology terminology background
• Ability to maintain a professional attitude when speaking with payers,
vendors, and agencies representing AHC.
• Current knowledge of insurance protocol
• Basic PC skills such (e.g. Windows, Microsoft Office)
• Must be able to type a minimum of 35 w.p.m.
• Ability to use standard office equipment (i.e. copier, fax, printer)
• Excellent customer service skills

At Adventist HealthCare our job is to care for you. We do this by offering:
• Work life balance through non rotating shifts
• Recognition and rewards for professional expertise
• Free Employee parking
• Competitive comprehensive benefit plans offered (including health, disability, PTO and 403B retirement plan with matching and 3 year vesting)
• 100% Coverage for inpatient care - at Adventist HealthCare facilities
• 100% Coverage for urgent care nationwide - after copay

As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.

If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference.

Join the Adventist HealthCare team today! Apply now to be considered or contact for more information.

Work Schedule:

Work Schedule: Monday - Friday 8:30 - 5:00

COVID-19 Vaccination

Adventist HealthCare requires all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination and , if offered, may elect to be vaccinated at a n designated Adventist HealthCare location.

Tobacco and Drug Statement

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.

While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.

Equal Employment Opportunity

Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants' religious beliefs.

Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.

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