Precertification Specialist

Center for Orthopaedics

1d

About The Position

Responsible for obtaining appropriate insurance verification, prior approval and all authorization requirements prior to a patient's arrival for a procedure or surgery. To perform authorization activities of inpatient and outpatient surgeries along with in office procedures, and assist with denial management. Need to demonstrate, through actions, the ability to multi-task and work under pressure. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization related activities including pre-authorizations, notifications, medical policy guidelines and denials.

Requirements

• Ability to multi-task and work under pressure.
• Working knowledge in the area of authorization related activities including pre-authorizations, notifications, medical policy guidelines and denials.

Responsibilities

• Obtaining appropriate insurance verification, prior approval and all authorization requirements prior to a patient's arrival for a procedure or surgery.
• Performing authorization activities of inpatient and outpatient surgeries along with in office procedures.
• Assisting with denial management.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed