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Precertification Specialist - Cardiac Rehab - Full Time - Days
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Full-time
- Under the supervision of the Utilization Review Manager, this position is responsible for ensuring the delivery of outstanding customer service in the process of obtaining pre-certification approvals from insurance companies (for both inpatients and outpatients), identifying insurance and/or patient responsibility, insurance verification, admission notifications, identifying approved days, follow up required, and providing financial counseling when appropriate.
- Licensure or other certifications: AAPC or AHIMA certification accepted
- Minimum Experience: In lieu of CPC certification, will accept 5 years direct pre-certification experience.
- Preferred Experience: One (1) year of direct pre-certification experience preferred with CPC certification.
- Provides and interprets clinical information submitted from the Physician, emphasizing the medical justification for a procedure, in order for completion of the pre-certification process.
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