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The position involves contacting insurance companies and other third-party payers to determine pre-certification, pre-authorization, and/or medical necessity requirements for basic and moderately complex hospital outpatient visits. The individual will be responsible for obtaining pre-certification or pre-authorization prior to the scheduled service being performed. Additionally, the role requires liaising with physicians and physician office staff when needed to obtain additional demographic, insurance, or clinical information. The individual will also notify the payer of admission if required.