PCC Authorization Associate I

Piedmont Healthcare Inc. • Atlanta, GA

3d

About The Position

Contacts 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. Obtains pre-certification or pre-authorization prior to the scheduled service being performed. Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information. Notifies the payer of admission if required.

Requirements

• H.S. Diploma or General Education Degree (GED) Required
• 2 years in Healthcare Revenue Cycle or related healthcare experience Required

Nice To Haves

• Bachelor’s Degree from a recognized college or university Preferred
• Completion of medical coder training program Preferred
• 3 years related healthcare Revenue Cycle experience within precertification/authorization Preferred
• Certification with Healthcare Financial Management Association Preferred
• Certified Revenue Cycle Representative Preferred

Responsibilities

• Contacts 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.
• Obtains pre-certification or pre-authorization prior to the scheduled service being performed.
• Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information.
• Notifies the payer of admission if required.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 251-500 employees