Insurance Verification/Precert LPN

Infirmary Health•Mobile, AL

About The Position

Performs clerical and administrative duties to support customer satisfaction and efficient department or clinic operations. Uses clinical expertise to review insurance medical-necessity requirements and benefits through provider websites, ensuring requirements are met before referrals and precertifications are submitted in accordance with Infirmary Health's quality, efficiency, and desired-outcomes standards.

Requirements

  • Graduation from an LPN program.
  • Previous experience with referrals and precertification.
  • Previous experience with ICD-10 and CPT diagnosis coding.
  • Current Alabama LPN license, or a current multistate LPN license under the Nurse Licensure Compact (NLC) for Alabama.

Nice To Haves

  • Excellent keyboarding skills.

Responsibilities

  • Perform clerical and administrative duties to support customer satisfaction and efficient department or clinic operations.
  • Use clinical expertise to review insurance medical-necessity requirements and benefits through provider websites.
  • Ensure requirements are met for referrals and precertifications submitted according to Infirmary Health's standards.
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