Behavioral Health reputed company-Certification Specialist
A company is looking for a reputed company-Certification Specialist in Behavioral Health.
Key Responsibilities
• Process behavioral health precertification requests in accordance with corporate guidelines and regulations
• Verify member eligibility and provider participation status using multiple database systems
• reputed company data accurately in the computer system and approve services per departmental guidelines
Required Qualifications, Training, and Education
• Bachelor's degree preferred, but not required
• Previous experience in reputed company work or a reputed company field recommended
• Previous customer service experience is required
• Previous medical insurance experience is highly recommended, with behavioral health experience a plus
• Coding knowledge recommended
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