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Precertification Representative

Precertification Representative

VirtualVocationsSaginaw, Michigan, United States
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A company is looking for a Precertification and Authorization Representative-Remote.

Key Responsibilities

Resolve referral, precertification, and prior authorization for various payors in hospital and clinic settings

Process pre-certification and prior authorization for workers compensation and managed care accounts

Adhere to quality assurance guidelines and productivity standards within the Patient Access department

Required Qualifications

High School Diploma or GED with 2+ years of relevant experience, or a Bachelor's degree

General knowledge of healthcare terminology and CPT-ICD10 codes

Basic knowledge of insurance verification and claim adjudication preferred

Experience with Epic RC / EMR system preferred

Healthcare Financial Management Association (HFMA) Certification preferred

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Representative • Saginaw, Michigan, United States

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Eligibility Representative

Eligibility Representative

VirtualVocationsSaginaw, Michigan, United States
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Insurance Verification Representative

Insurance Verification Representative

VirtualVocationsSaginaw, Michigan, United States
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Patient Access Representative

Patient Access Representative

VirtualVocationsSaginaw, Michigan, United States
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Retention Representative

Retention Representative

VirtualVocationsSaginaw, Michigan, United States
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Senior Regional Practice Leader

Senior Regional Practice Leader

VirtualVocationsSaginaw, Michigan, United States
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Sales Operations Representative

Sales Operations Representative

VirtualVocationsSaginaw, Michigan, United States
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Referral / Pre-Auth Specialist

Referral / Pre-Auth Specialist

VirtualVocationsSaginaw, Michigan, United States
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Seasonal Eligibility Research Representative

Seasonal Eligibility Research Representative

VirtualVocationsSaginaw, Michigan, United States
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Academic Sales Representative

Academic Sales Representative

VirtualVocationsSaginaw, Michigan, United States
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Quality Operations Representative

Quality Operations Representative

VirtualVocationsSaginaw, Michigan, United States
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Remote Specialty Reservations Representative

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Pharmacy Member Services Representative

VirtualVocationsSaginaw, Michigan, United States
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Bilingual Business Development Representative

Bilingual Business Development Representative

VirtualVocationsSaginaw, Michigan, United States
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Ambulatory Services Representative

Ambulatory Services Representative

VirtualVocationsSaginaw, Michigan, United States
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Regional Sales Representative

Regional Sales Representative

VirtualVocationsSaginaw, Michigan, United States
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Operational Performance Expert

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Epic Prelude Consultant

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VirtualVocationsSaginaw, Michigan, United States
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