Insurance Pre-Cert Specialist/Pre-Authorization Rehab

2 weeks ago


Marietta, United States Pinnacle Orthopaedics Full time
Job DescriptionJob DescriptionDescription:

Regular Job Functions

· Contacts insurance company to obtain insurance verification and pre-certification for physical/occupational therapy patients

· Enters benefit information and pre-certification authorization into guarantor notes in eCW

· Faxes orders, patient demographics, and insurance information to hospital or facility.

· Maintains a working knowledge of Medicaid, commercial insurance plans, Workers’ Compensation, etc.

· Answers phones and provides routing information to callers.


Requirements:

Knowledge, Judgment and Decision Making

Demonstrate the ability to make decisions as necessary using all available information

Communication, Teamwork, and Patient/Employee Relations

Communicate with colleagues and supervisor effectively and time

Leadership, Initiative and Resourcefulness Responsible for all other duties as assigned by Physicians and Administrator.



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