Precertification Representative
VirtualVocationsMission Viejo, California, United Statesjob_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
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 • Mission Viejo, California, United States
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