Precertification Analyst - VA Authorization

icon building Company : Coxhealth
icon briefcase Job Type : Full Time

Number of Applicants

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000+

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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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