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Job Details

Pre-Certification Rep

Company name
Prestige Staffing - Healthcare Jobs - Revenue Cycle

Location
Decatur, GA

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Job Description
JobID: 17099Prestige Staffing is hiring Outpatient Pre-Certification Reps. for a contract to hire position. Prefer orthopaedics, oral surgery or GYN experience.  Monday - Friday 8-4:40 or 8:30-5. JOB DESCRIPTION:\tInitiates verification of eligibility and of plan benefits\tNotifies and authorizes all inpatient and outpatient accounts\tFollows developed policies and procedures to obtain insurance benefits.\tContacts third party payers for insurance benefits to verify eligibility\tInitiates pre-authorization for services.\tIdentifies correct insurance plan, financial class, and coordination of benefits.\tEnters authorization documentation into appropriate systems. \tResponsible for obtaining clinical authorization by communicating patient and clinical information, medical necessity, and level of care to payers to secure account for reimbursement.MINIMUM QUALIFICATIONS:\tHigh school diploma or equivalent\t1 year of experience doing collections, billing and/or registration healthcare or insurance setting  \tTyping skills and good communication skills\tMust pas criminal background and drug test (including tobacco)Looking for candidates who can start this week. Apply today.*CB 

Company info

Prestige Staffing - Healthcare Jobs - Revenue Cycle

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