Overview

Responsible for reviewing requests for services that require pre-certification and or referrals.

Qualifications

Education: High School graduate of GED required.

Experience: Three years of insurance and/or billing experience including one year of experience in a health care organization preferred.

Additional Skills/Abilities:

Knowledge of accounts receivable practices and medical patient accounting services procedures. Knowledge of coding and clinic operating policies and procedures. Knowledge of insurance agency reimbursement procedures and practices. Knowledge of the organization’s policies and procedures. Skill in using computer and calculator. Ability to examine documents for accuracy and completeness. Ability to prepare records in accordance with detailed instructions. Ability to work effectively with co-workers and supervisors as a team member. Ability to communicate clearly. Upholds effective work habits including, but not limited to, regular attendance, teamwork, initiative, dependability and promptness.