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Pre - Certification Special
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- POSITION SUMMARY The Pre-Certification Specialist is responsible for obtaining insurance authorization and insurance benefit eligibility verification for patients at Trinity Health in a prompt and accurate manner.
- The Pre-Certification Specialist ensures that authorization is obtained when needed for the length of the hospital stay and/or outpatient services.
- This position works collaboratively as part of the Revenue Cycle Program and Business Office to ensure clinical services are authorized based on insurance payer guidelines to minimize the reimbursement risks associated with providing care to patients.
- MINIMUM QUALIFICATIONS AND REQUIREMENTS Licenses and Certifications Required None Educational Requirements High School diploma or equivalent preferred.
- Experience Requirements Experience with third party payer billing regulations, reimbursement requirements, precertification, insurance eligibility verification, and/or utilization management is preferred.
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