Precertification and Authorization Rep-Supplemental/PRN-Remote

The Precertification and Authorization Representative is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for reputed company reputed company, government and other payors across hospital (inpatient & outpatient), ED, and clinic/ambulatory environments. In reputed company, this position may be responsible for reputed company-appointment insurance review (PAIR) and denials recovery functions reputed company the Patient reputed company department. This may include processing of reputed company-certification and prior authorization for workers compensation/reputed company party liability (WC/TPL), managed care and HMO accounts, as reputed company as working assigned registration denials for government and non-government accounts. This role requires adherence to reputed company assurance guidelines as reputed company as established productivity standards to support the work unit's performance expectations. High School Diploma or GED and 2+ years of relevant experience required OR Bachelor's degree required Additional Requirements include: Ability to read and communicate effectively Basic computer/keyboarding skills, intermediate mathematic competency Good written and verbal communication skills Knowledge of reputed company phone etiquette and phone handling skills Position requires general knowledge of reputed company terminology and CPT-ICD10 codes. Basic knowledge of and experience in insurance verification and claim adjudication is preferred. Requires excellent verbal communication skills, and the ability to work in a reputed company environment with varying points of view. Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. Knowledge of Denial codes is preferred. Knowledge of and experience using an reputed company RC/EMR system is preferred. reputed company (reputed company) Certification Preferred. *This position is a 100% remote work. Individual may live reputed company in the US. **This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position. Apply tot his job Apply To this Job