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Medical Insurance Associate U - Decatur
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- This position serves as the referral and preauthorization associate for SIU Center for Family Medicine - Decatur.
- This person will interact with physicians, nurses and support staff within FQHC - Decatur as well as insurance companies, patients and outside facilities.
- Ensures planned services are appropriately pre-authorized/pre-certified to secure the accurate billing process of patient procedures (i.e. diagnostic test, inpatient and outpatient surgery, rehab and DME).
- Obtains standard, established codes acquired from ICD-10 and CPT books after chart review and/or discussion with physician or nurse and disseminates to the certifying agency.
- Maintain accurate records of the pre-authorizations/pre-certification process through entering appropriate information in computerized data system.
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