Precertification Specialist
4.
0 Biloxi, MS Biloxi, MS Full-time Full-time $17.
50 - $19.
00 an hour $17.
50 - $19.
00 an hour 3 days ago 3 days ago 3 days ago DESCRIPTION The Precertification Specialist is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers.
We are seeking a highly organized and detail oriented Specialist to join a very busy ENT Practice along the MS Gulf Coast.
The ideal candidate will have knowledge of medical terminology, coding, insurance verification and experience working in a dental or medical office.
RESPONSIBILITIES Review chart documentation to ensure patient meets medical policy guidelines Prioritize incoming authorization requests according to urgency Obtain authorization via payer website or by phone and follow up regularly on pending cases Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations o Initiate appeals for denied authorizations Respond to clinic questions regarding payer medical policy guidelines Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order Contact patients to discuss authorization status Other duties as assigned KNOWLEDGE, SKILLS, AND ABILITIES Knowledge of procedure authorization and its direct impact on the practice's revenue cycle Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively Basic understanding of human anatomy, specifically musculoskeletal Proficient use of CPT and ICD-10 codes Excellent computer skills including Excel, Word, and Internet use Detail oriented with above average organizational skills Plans and prioritizes to meet deadlines Excellent customer service skills; communicates clearly and effectively Ability to multitask and remain focused while managing a high-volume, time-sensitive workload EDUCATION/EXPERIENCE REQUIRED High School Diploma or GED 2 years medical prior authorization experience preferred 2 years experience in a medical related field required Job Type:
Full-time Pay:
$17.
50 - $19.
00 per hour
Benefits:
401(k) Dental insurance Health insurance Paid time off Vision insurance Weekly day range:
Monday to Friday Ability to Relocate:
Biloxi, MS:
Relocate before starting work (Required) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
0 Biloxi, MS Biloxi, MS Full-time Full-time $17.
50 - $19.
00 an hour $17.
50 - $19.
00 an hour 3 days ago 3 days ago 3 days ago DESCRIPTION The Precertification Specialist is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers.
We are seeking a highly organized and detail oriented Specialist to join a very busy ENT Practice along the MS Gulf Coast.
The ideal candidate will have knowledge of medical terminology, coding, insurance verification and experience working in a dental or medical office.
RESPONSIBILITIES Review chart documentation to ensure patient meets medical policy guidelines Prioritize incoming authorization requests according to urgency Obtain authorization via payer website or by phone and follow up regularly on pending cases Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations o Initiate appeals for denied authorizations Respond to clinic questions regarding payer medical policy guidelines Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order Contact patients to discuss authorization status Other duties as assigned KNOWLEDGE, SKILLS, AND ABILITIES Knowledge of procedure authorization and its direct impact on the practice's revenue cycle Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively Basic understanding of human anatomy, specifically musculoskeletal Proficient use of CPT and ICD-10 codes Excellent computer skills including Excel, Word, and Internet use Detail oriented with above average organizational skills Plans and prioritizes to meet deadlines Excellent customer service skills; communicates clearly and effectively Ability to multitask and remain focused while managing a high-volume, time-sensitive workload EDUCATION/EXPERIENCE REQUIRED High School Diploma or GED 2 years medical prior authorization experience preferred 2 years experience in a medical related field required Job Type:
Full-time Pay:
$17.
50 - $19.
00 per hour
Benefits:
401(k) Dental insurance Health insurance Paid time off Vision insurance Weekly day range:
Monday to Friday Ability to Relocate:
Biloxi, MS:
Relocate before starting work (Required) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
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