Precertification Specialist
About The Position
Ensures the effective and efficient use of services, monitors appropriateness and medical necessity and provides necessary information for authorization of diagnostic testing with multiply insurance providers. Verifies insurance eligibility and benefits and obtains deductible and coinsurance amounts, obtaining precertification/authorization for outpatient diagnostic testing and other services as needed. Responsible for promoting teamwork with all members of the healthcare team. Performs duties in a manner consistent with St. Luke's mission and values.
Requirements
- High School Diploma or GED
Responsibilities
- Ensures the effective and efficient use of services
- Monitors appropriateness and medical necessity
- Provides necessary information for authorization of diagnostic testing with multiply insurance providers
- Verifies insurance eligibility and benefits
- Obtains deductible and coinsurance amounts
- Obtaining precertification/authorization for outpatient diagnostic testing and other services as needed
- Responsible for promoting teamwork with all members of the healthcare team
- Performs duties in a manner consistent with St. Luke's mission and values
Benefits
- Day one benefits package
- Pension Plan & 401K
- Competitive compensation
- FSA & HSA options
- PTO programs available
- Education Assistance
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
