Precertification Analyst - Surgery

CoxHealth

Description

: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. 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/A

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Vacancy posted 2 days ago

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