Description
:The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations. Interprets patient medical records and reviews cases with the insurance nurse reviewer. Accurately enters information into multiple computer programs and insurance websites.Education:
Required: High School Diploma or Equivalent
Preferred: Medical Assistant Degree
Experience:
Required: 1 Year VA/TriWest Related Experience
Preferred: 6 months experience with medical terminology
Skills:
Strong analytical/problem solving skills.
Ability to communicate effectively with different levels of management, nursing, physicians, and insurance nurse reviewers.
Excellent time management, Communication skills, organization, prioritizing, decision-making, and planning skills.
Flexibility and ability to work in a multi-tasking environment.
Ability to understand and interpret insurance benefits
Ability to understand multiple computer programs and multiple insurance websites.
Licensure/Certification/Registration:
N/A
Precertification Analyst - VA
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