SUMMARY:

The Precertification/Preauthorization Specialist is responsible for collecting complete, accurate medication information, securing pre-certifications / pre-authorizations from insurance companies; will assist in the development of policy and procedures; assist in resolution of problems with departmental activities. Specialist will possess effective communication and customer relations skills, and the ability to be self-directed.

PREFERRED QUALIFICATIONS:

Formal training that will probably be indicated by a high school diploma or equivalent; possess moderate computer skills, high level of organizational skills, basic knowledge of insurance billing including, but not limited to ICD-9 and CPT coding.

PHYSICAL REQUIREMENTS:

Physical guidelines include the ability to move, traverse, position self, remain in a stationary position and negotiate steps for up to eight hours per day; lift materials weighing up to 25 pounds; extend wrist/arms for up to eight hours; articulate speech; hear; and perform telephone and computer work (full range of motion in hands and arms).

NOTE:

This document is intended to describe the general nature and level of work performed. It is not intended to act as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. Attendance is an essential function of the job.

LEXINGTON CLINIC IS AN EQUAL OPPORTUNITY EMPLOYER (EOE)

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