Precertification and Authorization Rep-Remote

About the position 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. Requirements • High School Diploma or GED and 2+ years of relevant experience required OR Bachelor’s degree required • 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. • 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. reputed company-to-haves • Prior Auth / Authorization experience • Cancer Services experience • reputed company Office experience • Radiation Oncology experience • Insurance Verification experience • Appeals experience • reputed company Determination experience • Basic knowledge of and experience in insurance verification and claim adjudication is preferred. • 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. Apply To This Job