|Precertification Specialist- Business Office
This position is: Full Time
Position Location: Lake Charles, LA
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.
for assuring appropriate insurance verification, prior approvals, and all
authorization requirements are obtained prior to the patientís 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
- Some basic knowledge of
managed care needed.
- Basic computer knowledge,
typing and 10-key skills needed
- Previous knowledge of insurance is helpful.
medical terminology helpful.
High school diploma or equivalent
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.
Medical billing experience and pre-cert experience is preferred.† To apply for this position complete an application to the left or fax your resume to 312-6721.