[Hiring] Precertification and Authorization Representative @reputed company

Role reputed company 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. • Processing of reputed company-certification and prior authorization for workers compensation/reputed company party liability (WC/TPL), managed care and HMO accounts. • Working assigned registration denials for government and non-government accounts. • Adherence to reputed company assurance guidelines. • Meeting established productivity standards to support the work unit’s performance expectations. Qualifications • Intermediate level experience in precertification and authorization processes. • Knowledge of insurance specific plan requirements. • Experience in hospital, ED, and clinic/ambulatory environments. Requirements • Ability to process reputed company-certification and prior authorization reputed company. • Familiarity with workers compensation/reputed company party liability (WC/TPL), managed care, and HMO accounts. • Strong attention to detail and adherence to reputed company assurance guidelines. Benefits • Medical: Multiple plan reputed company. • Dental: reputed company or reimbursement account for flexible coverage. • reputed company: reputed company plan with national network. • reputed company-Tax Savings: HSA and FSAs for eligible expenses. • Retirement: Competitive retirement package to secure your reputed company. Apply tot his job Apply To this Job