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Job Description:
Our ophthalmology practice has an immediate opening for an experienced Pre-Certification Specialist at our Independence office. We are focused on Great Patient Care and are seeking a candidate who shares these ideals. This is a full-time position, Monday-Friday, 8:00am - 5:00pm. Compensation is $19-$21/hourly, based upon experience. Our practice offers excellent benefits and because we understand the importance of work-life balance, we offer generous PTO and paid holidays.
Responsibilities:
- Verify insurance coverage and pre-certification requirements for medical procedures and services
- Communicate with insurance companies and healthcare providers to obtain necessary pre-certification approvals
- Review medical records and documentation to ensure compliance with pre-certification requirements
- Maintain accurate and up-to-date records of pre-certification approvals and denials
- Collaborate with healthcare providers to resolve pre-certification issues and ensure timely delivery of medical services
- Stay up to date with changes in insurance policies and pre-certification requirements
Requirements:
- High school diploma or equivalent; associate or bachelor's degree in healthcare administration or related field preferred
- Experience in pre-certification or insurance verification in a healthcare setting- Knowledge of medical terminology and insurance policies
- Strong communication and interpersonal skills
- Ability to work independently and as part of a team
- Excellent organizational and time management skills
- Proficiency in Microsoft Office and electronic medical record systems
If you are interested in being considered for this position, please submit a current and updated resume to this posting.
EOE
Job Type: Full-time
Pay: $19.00 - $21.00 per hour
Benefits:
Weekly day range:
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Work Location: In person
Full Time
$50k-69k (estimate)
05/23/2024
09/19/2024
The following is the career advancement route for Pre-Certification Specialist positions, which can be used as a reference in future career path planning. As a Pre-Certification Specialist, it can be promoted into senior positions as a Member Certification Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Pre-Certification Specialist. You can explore the career advancement for a Pre-Certification Specialist below and select your interested title to get hiring information.