What are the responsibilities and job description for the Precertification Specialist position at Center for Orthopaedics?
General Summary Of Duties
Responsible for obtaining appropriate insurance verification, prior approval and all authorization requirements prior to a patient's arrival for a procedure or surgery. To perform authorization activities of inpatient and outpatient surgeries along with in office procedures, and assist with denial management. Need to demonstrate, through actions, the ability to multi-task and work under pressure. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization related activities including pre-authorizations, notifications, medical policy guidelines and denials.
Responsible for obtaining appropriate insurance verification, prior approval and all authorization requirements prior to a patient's arrival for a procedure or surgery. To perform authorization activities of inpatient and outpatient surgeries along with in office procedures, and assist with denial management. Need to demonstrate, through actions, the ability to multi-task and work under pressure. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization related activities including pre-authorizations, notifications, medical policy guidelines and denials.