Job Description - Precertification Analyst - VA Authorization
Summary
Best in Class Work Environment
5x Modern Healthcare Best Places to work
America’s Greatest Workplaces 2023 – Newsweek
Best Employers for New Grads 2023- Forbes
Greatest Workplace for Women 2023 - Newsweek
Benefits
Robust, fully customizable benefits package including Medical/Vision/Dental and more!
No cost eCare visits
Employer-provided mental health services for employees and eligible family members
Retirement with employer match up to 5%
Tuition discounts and reimbursement available for continuing your education
CoxHealth Fitness Center and Child Care discounts
Job Summary
The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations. Interprets patient medical records and reviews cases with the insurance nurse reviewer. Accurately enters information into multiple computer programs and insurance websites.
Job Requirements
Education
Required: High School Diploma or Equivalent
Preferred: Medical Assistant Degree
Experience
Required: 1 Year Related Experience
Preferred: 6 months experience with medical terminology
Skills
Strong analytical/problem solving skills.
Ability to communicate effectively with different levels of management, nursing, physicians, and insurance nurse reviewers.
Excellent time management, Communication skills, organization, prioritizing, decision-making, and planning skills.
Flexibility and ability to work in a multi-tasking environment.
Ability to understand and interpret insurance benefits
Ability to understand multiple computer programs and multiple insurance websites.
Licensure/Certification/Registration
N/A
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