Pre Certification Analyst I - Remote

ProMedica • Las Vegas, NV

2d • $31,200 - $58,968 • Remote

About The Position

The Pre-Certification Analyst plays a vital role in ensuring patients receive needed medical services while following insurance policies and regulations. You will review payer authorization guidelines and assign coding for professional services. In this role, you will create a pre-service price estimate and inform the patient of their potential out-of-pocket financial responsibilities. The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive.

Requirements

• High School diploma or equivalent

Nice To Haves

• 1 year experience in patient registration, billing, or customer service

Responsibilities

• review payer authorization guidelines
• assign coding for professional services
• create a pre-service price estimate
• inform the patient of their potential out-of-pocket financial responsibilities

Benefits

• medical
• dental
• vision
• company paid life insurance
• paid time off
• a 401k retirement plan
• an employee assistance program
• other voluntary coverage options
• employee discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED