Job Description

Description

:• Job Summary
◦ 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. 
• Job Requirements
◦ Education
▪ Required: High School Diploma or Equivalent
▪ Preferred: Medical Assistant Degree
◦ Experience
▪ Required: 1 Year Related Experience
▪ Preferred: 6 months experience with medical terminology
◦ Skills
▪ 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.
◦ Licensure/Certification/Registration
▪ N/AEducation: ▪ Required: High School Diploma or Equivalent ▪ Preferred: Medical Assistant Degree Experience: ▪ Required: 1 Year Related Experience ▪ Preferred: 6 months experience with medical terminology Skills: ▪ 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. Licensure/Certification/Registration: ▪ N/A

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