|Precertification Specialist- Business Office
This position is: Full Time
Position Location: Lake Charles, LA
JOB TITLE: Insurance
FLSA STATUS: Non-Exempt
GENERAL SUMMARY OF
The purpose of this position is to
gather benefits and eligibility information from insurance companies, to obtain
eligibility verification for patients, and to relay benefit information and an
estimated cost of treatment.
Business Office Manager
for assuring appropriate insurance verification, prior approvals, and all
authorization requirements are obtained prior to the patient’s arrival for
surgery or procedure.
- Communicate with physicians,
mid-level providers, and clinical staff as needed to obtain and understand
clinical documentation requirements
- Provide required clinical
documentation to payers via phone, faxed forms, and/or website
- Contact Referring and other
external providers as needed
- Clearly document authorization
approvals and denials in Practice Management systems including
authorization numbers and associated codes, dates, and other relevant
- Basic knowledge of managed
- Basic computer knowledge,
typing and 10-key skills needed
- Previous knowledge of insurance is helpful.
medical terminology helpful.
High school diploma or equivalent
with obtaining prior authorizations is highly preferred.
level of computer skills including EMR (electronic Medical record),
Practice Management system, basic office applications including Outlook,
Word, Excel and use of the internet.
service experience; preferably in healthcare related environment.