Primary responsibilities for Pre Cert Department:
- Review chart documentation to ensure patient meets medical policy guidelines for authorization
- Prioritize incoming authorization requests according to urgency
- Obtain authorization via a 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
Secondary responsibilities for Billing Office:
- Verification of Eligibility and practice participation with payers
- Ability to work front desk on days patients are seen in office
Must have:
- Proficient use of CPT and ICD-10 codes
- Excellent computer skills including Excel, Word, and Internet use
- Detail oriented with above average organizational skills, ability to meet deadlines
- Excellent customer service skills; communicate clearly and effectively
- Ability to multitask and remain focused while managing a high-volume, time-sensitive workload
Experience:
- Insurance verification: 1 year (Preferred)
- Medical billing: 1 year (Preferred)
(SN)
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