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Pre-Certification Rep in Decatur, GA at Prestige Staffing

Date Posted: 2/14/2018

Job Snapshot

  • Employee Type:
    Contractor
  • Location:
    Decatur, GA
  • Job Type:
    Other
  • Experience:
    Not Specified
  • Date Posted:
    2/14/2018

Job Description

JobID: 17099

Prestige Staffing is hiring Outpatient Pre-Certification Reps. for a contract to hire position. Prefer orthopaedics, oral surgery or GYN experience.  Monday - Friday 8-4:40 or 8:30-5. 

JOB DESCRIPTION:

  • Initiates verification of eligibility and of plan benefits
  • Notifies and authorizes all inpatient and outpatient accounts
  • Follows developed policies and procedures to obtain insurance benefits.
  • Contacts third party payers for insurance benefits to verify eligibility
  • Initiates pre-authorization for services.
  • Identifies correct insurance plan, financial class, and coordination of benefits.
  • Enters authorization documentation into appropriate systems. 
  • Responsible for obtaining clinical authorization by communicating patient and clinical information, medical necessity, and level of care to payers to secure account for reimbursement.

MINIMUM QUALIFICATIONS:

  • High school diploma or equivalent
  • 1 year of experience doing collections, billing and/or registration healthcare or insurance setting  
  • Typing skills and good communication skills
  • Must pas criminal background and drug test (including tobacco)

Looking for candidates who can start this week. Apply today.

*CB