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Pre - Certification Specialist
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Full-time
- The Pre-Certification Specialist is responsible for processing referrals for services and obtaining needed authorizations from the patient’s payor source.
- A Pre-Certification Specialist is responsible for collecting all information needed, to properly notify and obtain authorizations from all of the patient’s payor sources and be able to effectively communicate.
- These duties are to be performed in a highly confidential manner, in accordance with the mission, values and behaviors of Mercy Hospital and Medical Center.
- Verifies insurance coverage and benefits for patient admissions either electronically or via other media
- Makes written and/or verbal inquiries to third party payers to verify insurance status and obtain pre-certification
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