Insurance Pre-Cert Specialist/Pre-Authorization Rehab
3 weeks ago
Job Type
Full-time
Description
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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