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Precertification Analyst

This job posting is no longer active.

Springfield, MO
Posted: May 14, 2021

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Summary

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

Job Information

CMGFINANCIALSERVICES

Full Time - Day Shift - 8am-5pm

Clerical/Administrative Support

Req #: 20214966-53601

Remote Work Type: Full-Time Remote

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