AR Precertification Specialist
Primary Responsibilities/Requirements:
- Pre-certify all patients for office visits, consults, testing, and procedures as required by each patient’s insurance company by monitoring patient schedules in the billing system for each department
- Follow insurance company pre-certification requirements for approval, such as calling, faxing, emailing, logging into their system online, etc.
- Assist accounts receivable, coding, registration, and insurance follow up staff on an as-needed basis
- Answer requests from various departments regarding pre-cert requirements for various insurance companies
- Reviews pre-cert requirements for insurance companies in timely manner to maintain up-to-date knowledge of requirements
- Notifies appropriate staff on status of approval/denials.
- Forwards denials to manager and appropriate staff for further review and decision making
- Maintains strict confidentiality
- Performs related work as required
Must also possess:
- HS Diploma/GED required
- Three years insurance and/or billing experience preferred
- One year of healthcare experience preferred
- Coding, AR, Insurance reimbursement knowledge required.
- Ability to work under pressure and meet deadlines
- Outstanding organizational, verbal and writing skills
- Independent and highly motivated
- Initiative and self-discipline
- Proven positive, "teamwork" attitude in work history
Physical Demands:
- Must be able to use arms, hands, and fingers skillfully
- Constant sitting for long periods of time
- Must be agile and able to work efficiently in space limited areas
- Consistently work at a productive pace
- Must readily adapt to frequent treatment schedule changes
Recommended Jobs
Software Engineer
Software Engineer – Huntsville, AL Full Visibility is seeking a Software Engineer to work in Huntsville, AL. Candidate must possess an active Top Secret/SCI eligible clearance. …
Supply Chain Transaction Specialist
Currently, we are looking for talented resources for one of our listed clients. If interested please reply to me with your updated resume or feel free to reach out to me for more details at (949) 892-…
Network Administration, SME
Program Overview About The Role Join Peraton's mission-critical team supporting secure, real-time data delivery across complex operational environments in direct support of our nation's warf…
Registered Nurse Dialysis
Title: Registered Nurse (RN) Dialysis Level: Junior Travel Required: Travel not required Visa Support: No visa sponsorships supported Location: Country: United States of America Cit…
Refrigeration Manager
Description Position at Pilgrim's REFRIGERATION MANAGER This position manages and coordinates the activities of the Refrigeration and Boiler Departments.ESSENTIAL DUTIES: ~Schedules powerh…
Supervisor - Plastics QC (1st Shift)
Overview: Summary Professional interaction, training, leadership and communication with Mobis Management, Production Depts and Team Members. Responsibilities: Essential Functions (To perform …
Line Cook
For this position, pay will be variable by location - See additional job details and benefits below Work in a team-oriented, high-volume, fast-paced, guest-centric environment to provide gu…
Payroll Associate
Overview: Diversified Gas & Oil Corporation (“DGOC”) is a wholly-owned subsidiary of Diversified Energy Company PLC, a US-based company listed on the New York Stock Exchange (NYSE) and London Stock E…
Senior Process Engineer - Fiber Handling Engineer
Job Description Summary The Fiber Handling Engineer will support the GE Aerospace Huntsville site where ceramic matrix composites (CMC's) are produced. Specifically this role will support processe…
SPANISH INSIDE SALES REPRESENTATIVE
We are looking for a motivated individual to join our inside sales team in our Downtown Mobile, AL office. AVA Technologies is a Solutions Provider that works with the full range of award-winning, fl…