What are the responsibilities and job description for the Preauthorization/Precertification Specialist position at East Tennessee Gastroenterology PLL?
Benefits:
- 401(k)
- 401(k) matching
- Free food & snacks
- Paid time off
About the Role:
Join East Tennessee Gastroenterology PLL as a Preauthorization/Precertification Specialist, where you will play a vital role in ensuring smooth patient care processes. This position is perfect for detail-oriented professionals who thrive in a fast-paced environment and are passionate about supporting healthcare services in the Cleveland, TN area.
Responsibilities:
- Review and process preauthorization and precertification requests for medical procedures and services.
- Communicate effectively with insurance companies, healthcare providers, and patients regarding authorization status.
- Maintain accurate records of all preauthorization activities and outcomes in the electronic health record system.
- Collaborate with clinical staff to gather necessary documentation for authorization submissions.
- Monitor pending authorizations and follow up as needed to ensure timely approvals.
- Stay updated on insurance policies and changes to ensure compliance and accuracy.
- Assist in resolving any authorization-related issues or denials with appropriate follow-up actions.
- Provide exceptional customer service to patients and healthcare providers throughout the authorization process.
Requirements:
- High school diploma or equivalent; relevant certification in medical billing or coding is a plus.
- Minimum of 2 years of experience in healthcare insurance verification or preauthorization roles.
- Strong knowledge of medical terminology and coding (CPT, ICD-10).
- Excellent communication skills, both verbal and written, with a customer-focused approach.
- Proficient in using electronic health record systems and Microsoft Office Suite.
- Detail-oriented with strong organizational and time management skills.
- Ability to work independently and as part of a team in a fast-paced environment.
- Demonstrated ability to handle sensitive information with confidentiality and professionalism.
About Us:
East Tennessee Gastroenterology PLL has been serving the Cleveland, TN community for over a decade, providing top-notch gastrointestinal care. Our dedicated team is known for their compassionate approach and commitment to patient satisfaction, making us a trusted choice for both patients and employees alike.