Precertification Analyst
CoxHealth
10d•Remote
About The Position
The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations. Interprets patient medical records and reviews cases with the insurance nurse reviewer. Accurately enters information into multiple computer programs and insurance websites.
Requirements
- High School Diploma or Equivalent
- 1 Year Related Experience
- Strong analytical/problem solving skills.
- Ability to communicate effectively with different levels of management, nursing, physicians, and insurance nurse reviewers.
- Excellent time management, Communication skills, organization, prioritizing, decision-making, and planning skills.
- Flexibility and ability to work in a multi-tasking environment.
- Ability to understand and interpret insurance benefits
- Ability to understand multiple computer programs and multiple insurance websites.
Nice To Haves
- Medical Assistant Degree
- 6 months experience with medical terminology
Responsibilities
- Obtains authorizations from Insurance companies for scheduled tests/procedures
- Provides necessary medical information for authorizations
- Interprets patient medical records
- Reviews cases with the insurance nurse reviewer
- Accurately enters information into multiple computer programs and insurance websites
Benefits
- Medical
- Vision
- Dental
- Retirement Plan with employer match
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
