PC Authorization Associate II
RESPONSIBLE FOR:
Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for complex outpatient hospital services, and specialized procedures (i.e. Recurring Visits, Surgeries, IR). Obtains pre-certification or pre-authorization prior to the scheduled complex service being performed. Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information. Notify payers of admittance if required.
Qualifications:
MINIMUM EDUCATION REQUIRED:
High school diploma or GED
MINIMUM EXPERIENCE REQUIRED:
Three (3) yrs exp in Rev Cycle or related exp in healthcare, with one of those years working specifically within Healthcare Revenue Cycle.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
None
ADDITIONAL QUALIFICATIONS:
Four (4) years of previous related healthcare Revenue Cycle experience preferred. A Bachelor's degree from a recognized college or university preferred. Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative preferred. Prior Epic experience preferred. Clinical experience (i.e. medical assistant, surgical tech) or completion of medical coder training program preferred.
Business Unit : Company Name: Piedmont Healthcare Corporate
Recommended Jobs
Mailroom specialist
Job Responsibilities: Opening, prepping and scanning mail. Prepping incoming electronic mail (E-Prep,FTP). Processing of Outbound Mail by means of various postal equipment including mail ins…
Part-Time Caregiver - Clayton, GA
Comfort Keepers Location: Clayton, GA Schedule: Part-time (exact schedule discussed during interview) Compensation: Competitive pay About the Role Comfort Keepers is seeking a compa…
Principal Software Engineer
About the Company: Stable Kernel is a technology services firm and custom software developer building scalable software solutions for cutting-edge, innovative enterprises to move their business …
Travel Nurse - Endoscopy Job in Fayetteville, GA - $9,025 per Month (2 Years Experience Needed)
Vetted is seeking a RN - Endoscopy for a travel job in Fayetteville, Georgia . Must have 2+ years of experience. This contract pays approximately $9,025/month gross. Assignment details: …
Team Lead - HOA Site Inspections
Assistant Manager JOB DESCRIPTION The Assistant Manager plays a pivotal role in driving success across the division by supporting the Division Leadership and collaborating closely with the Manage…
Attendant- Raw Receiving Protein
Description Position at Pilgrim's Job Title: Attendant-Raw Receiving Location:Douglas, Ga Protein Conversion Position Summary: The Raw Receiving Attendant is responsible for learning all j…
Class A Delivery Driver
Class A Delivery Driver at Core-Mark summary: CVWalletExtranet.Domain.Entities.JobShortDescription Job Description: We Deliver the Goods: Competitive pay and benefits, including Day 1 Hea…
Senior Project / Program Manager
Kforce has a client seeking a hybrid Senior Project/Program Manager to join their team in Atlanta, GA. This role focuses on POS systems and guest-facing technology, including payment devices and digit…
Data Center Operations Technician IV - Night Shift (AT1) (1683)
About Coresite At CoreSite, we empower a more connected future through high-performance data centers and interconnection solutions. Recognized as a trusted partner in digital transformation, our s…
Farm/Cattle Manager
Farm/Cattle Manager (6169) Location: Georgia Job Number: 6169 Farm and Cattle Manager Position immediately available on a 625 acre family-owned, historic plantation in north west Georgia. The …