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Precertification Authorization Specialist | Precertification Authorization in Clerical Job at Gate1

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Precertification Authorization Specialist

Location:
Granite City, IL
Description:

This position is responsible for obtaining pre-certifications and pre-authorizations for procedures, scheduling appointments for outpatient testing with other providers, transcribes and triages patient calls to physicians, coordinates patient appointments/orders. JOB DUTIES AND RESPONSIBILITIES: Contact insurance carriers to verify patient's insurance eligibility, benefits and requirements. Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services. Request, follow up and secure prior authorizations prior to services being performed. Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations. Communicate any insurance changes or trends among team. Maintains a level of productivity suitable for the department. Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format. Other duties as assigned. JOB REQUISITES: Experience: Previous experience in a hospital or outpatient setting preferred.
Company:
Gateway Regional Medical Center
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Precertification Authorization Specialist
Precertification Authorization Specialist is a Clerical Precertification Authorization Job at Gateway Regional Medical Center located in Granite City IL. Find other listings like Precertification Authorization Specialist by searching Oodle for Clerical Precertification Authorization Jobs.