Precertification and Authorization Rep-Remote
Precertification and Authorization Rep-Remote
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1 Vacancy
Job Description
The Precertification and Authorization Representative is an intermediate level position that is responsible for resolving referral precertification and/or prior authorization to support insurance specific plan requirements for all commercial government and other payors across hospital (inpatient & outpatient) ED and clinic/ambulatory environments. In addition this position may be responsible for preappointment insurance review (PAIR) and denials recovery functions within the Patient Access department. This may include processing of precertification and prior authorization for workers compensation/third party liability (WC/TPL) managed care and HMO accounts as well as working assigned registration denials for government and nongovernment accounts. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work units performance expectations.
Qualifications
High School Diploma or GED and 2 years of relevant experience required
OR
Bachelors degree required
Ability to read and communicate effectively
Basic computer/keyboarding skills intermediate mathematic competency
Good written and verbal communication skills
Knowledge of proper phone etiquette and phone handling skills
Position requires general knowledge of healthcare terminology and CPTICD10 codes. Basic knowledge of and experience in insurance verification and claim adjudication is preferred. Requires excellent verbal communication skills and the ability to work in a complex environment with varying points of view. Must be comfortable with ambiguity exhibit good decision making and judgment capabilities attention to detail. Knowledge of Denial codes is preferred. Knowledge of and experience using an Epic RC/EMR system is preferred. Healthcare Financial Management Association (HFMA) Certification Preferred.
his vacancy is not eligible for sponsorship/ we will not sponsor or transfer visas for this position.
This position will accept applications until April 5 2025 This deadline may be extended if the necessary candidate pool is not met by this date.
Employment Type
Full-Time
