Pre Authorization Analyst

Opelousas General Health System•Opelousas, LA

10h

About The Position

Responsible for performing all functions necessary to obtain verification and pre-certification on all scheduled patients through EEDI. Accountable for accuracy of all insurance benefits/pre-certification information prior to scheduling a patient.

Requirements

High School Diploma/GED required.

Nice To Haves

Medical Coding
Medical Terminology

Responsibilities

Follows departmental policies and procedures and explains to patients and/or family as needed.
Assists with the training of new employees as needed.
Answers basic insurance questions and /or refers appropriately as necessary.
Verifies and pre-certifies insurance according through EEDI.
Works in close cooperation with Physicians offices making appropriate patient referrals as necessary.
Documents all activity relative to the account in EEDI
Maintains good communication with physicians and staff to promote a good working relationship.
Demonstrates a clear understanding of insurance pre-certification requirements.
Enters all relevant Insurance benefits and Pre-certification information into computer.
Demonstrates a basic understanding of Medicare, Medicaid, HMO and PPO rules, regarding pre-certification requirements.
Works in conjunction as part of the Centralized Scheduling department.