Precertification Analyst
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Job Description
Precertification Specialist responsible for securing insurance authorizations for procedures at CoxHealth. Reviewing patient records and entering information into various systems while collaborating with healthcare providers.
Responsibilities:
- The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations.
- Interprets patient medical records and reviews cases with the insurance nurse reviewer.
- Accurately enters information into multiple computer programs and insurance websites.
Requirements:
- Required: High School Diploma or Equivalent
- Preferred: Medical Assistant Degree
- Required: 1 Year VA/TriWest Related Experience
- Preferred: 6 months experience with medical terminology
- Strong analytical/problem solving skills.
- Ability to communicate effectively with different levels of management, nursing, physicians, and insurance nurse reviewers.
- Excellent time management, Communication skills, organization, prioritizing, decision-making, and planning skills.
- Flexibility and ability to work in a multi-tasking environment.
- Ability to understand and interpret insurance benefits
- Ability to understand multiple computer programs and multiple insurance websites.
Benefits:
- Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)
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