3 Precertification Specialist Jobs in Savannah, GA
St. Joseph's/Candler is Hiring a Precertification Specialist Near Savannah, GA
- Position Summary
- Performs required precertification activities to ensure reimbursement for outpatient services for specialty practices, including practices under professional services agreements and the related to treatments and procedures located at SJC sites. Works closely with insurance carriers and medical/hospital practices to ensure timely, accurate and complete documentation of clinical and administrative information related to outpatient infusion services and procedures. Communicates to the patients, the insurance approval status of all precertifications. Performs other responsibilities as needed.
- Education
- High School Diploma - Preferred
- Experience
- 2-3 Years medical background - Preferred
- 1 Year insurance experience - Preferred
- License & Certification
- None Required
- Core Job Functions
- Demonstrates responsibility in maintaining patient records in organized and secure manner. Ensures HIPAA regulations are continuously followed.
- Determines precertification necessity. Communicates and coordinates with insurance companies to maximize reimbursement. Communicates with other departments to eliminate denials from insurance companies.
- Monitor various reports for precertification need. Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
- Documents within EMR and hospital charting system data on precertification and payer correspondence. Ensures appropriate referral information is taken by the front desk staff to limit denial of services
Job Summary
Full Time
Hospital
$39k-48k (estimate)
02/22/2023
06/09/2024
sjchs.org
SAVANNAH, GA
100 - 200
2019
EDWENA FILLERS
$10M - $50M
Hospital
Related Companies
About St. Joseph's/Candler
St. Josephs/Candler of Savannah, Georgia is a national Magnet-designated facility for nursing excellence, with a focus on the latest technologies and research. Its comprehensive network includes centers of excellence for oncology, cardiovascular, neurosciences, womens and childrens services, orthopedics and a variety of other disease specialties. SJ/C's Nancy N. and J.C. Lewis Cancer & Research Pavilion is one of only 16 original health systems selected as part of the National Cancer Institute's Community Cancer Centers Program, bringing the latest clinical trials and treatments to local commu...nities. Comprised of two of the oldest continuously operating hospitals in the United States, St. Josephs Hospital (1875) and Candler Hospital (1804), this not-for-profit health system serves 33 counties in southeast Georgia and the South Carolina Low Country and is the largest and only faith-based institution in the region.
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The following is the career advancement route for Precertification Specialist positions, which can be used as a reference in future career path planning. As a Precertification Specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Precertification Specialist. You can explore the career advancement for a Precertification Specialist below and select your interested title to get hiring information.
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