Precertification Specialist

Job DetailsDescriptionResponsibilities/Requirements:Pre-certify all patients for office visits, consultations, testing, and procedures as required by each patient’s insurance company by monitoring patient schedules in the billing system for each departmentFollow insurance company pre-certification requirements for approval, such as calling, faxing, emailing, logging into their system online, etc.Assist accounts receivable, coding, registration, and insurance follow up staff on an as-needed basisAnswer requests from various departments regarding pre-cert requirements for various insurance companiesReviews pre-cert requirements for insurance companies in a timely manner to maintain up-to-date knowledge of requirementsNotifies appropriate staff on status of approval/denials.Forwards denials to manager and appropriate staff for further review and decision makingMaintains strict confidentialityPerforms related work as requiredMust Also PossessHS/GED requiredAbility to communicate effectively with patients, DOC physicians and staffAbility to work under pressure and deadlinesOutstanding organizational, verbal and writing skillsIndependent, highly motivatedExhibit initiative and self-disciplineProven positive, “teamwork” attitude and work historyPrevious insurance precert experience preferredPrevious surgery or procedure scheduling preferredPhysical DemandsMust be able to use arms, hands, and fingers skillfullyConstant sitting for long periods of timeMust be agile and able to work efficiently in space limited areasConsistently work at a productive pace