Precertification Analyst Job at CoxHealth, Lake Spring, MO

Tno1NzA5OTJONXFOd2VQZVNnNkt0bkVD
  • CoxHealth
  • Lake Spring, MO

Job Description

Description

:• 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/AEducation: ▪ 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

Job Tags

Similar Jobs

Openwater

Medical Device Software Test Engineer (San Francisco) Job at Openwater

 ...open-clinical-data, and open-safety-sharing company, centered on the new idea of the Silicon Hospital. About the Role As a Software Test Engineer at Openwater, you will design, develop, and execute tests, as well as identify and report defects, in order to ensure... 

ELEVI Associates

Dell Product Storage Resident Engineer Job at ELEVI Associates

 ...Job Description Job Description Secret Clearance Required Job Summary: The Dell Product Storage Resident is a dedicated technical expert embedded within the customer's IT environment for a 12-month engagement. This role focuses on the daily operation, optimization... 

HDR

Software Development Engineer in Testing (SDET) Job at HDR

Software Development Engineer in Testing (SDET) Join to apply for the Software Development Engineer in Testing (SDET...  ...design documents to provide timely and meaningful feedbackCreate detailed...  ...time regular positions. Temporary and part-time roles eligible for limited benefits... 

Springfield Technical Community College

Grants Development Specialist (Grants Writer) Job at Springfield Technical Community College

 ...supervision of the Assistant Vice President of Academic Affairs, the Grants Development Specialist secures external funding from public and...  ..., funding agency representatives, external partners, and grant writers from other institutions) on the development and synthesis of... 

UHS

Information Security Analyst - Application Security (Penetration Tester) (Wayne) Job at UHS

 ..., APIs, and cloud-based applications through code reviews, using tools such as SAST, DAST, IAST, SCA, manual techniques, and penetration testing. Periodically reviews deployed security technologies to ensure that the solutions continue to provide the intended protections...