ENT Precertification Specialist

4 weeks ago


Louisville, Kentucky, United States UofL Health Full time
Precertification Specialist- ENT Job Description

UofL Health is seeking a skilled Precertification Specialist- ENT to join our team. The ideal candidate will have a strong background in patient access, insurance verification, and prior authorization.

Key Responsibilities:
  • Accurately and efficiently identify all necessary clinical documentation to support medical necessity for scheduled procedures and medication orders.
  • Submit authorizations and clinical information to payers in a timely manner, ensuring compliance with plan rules.
  • Assess orders to determine patient class and work with physicians to clarify as needed.
  • Coordinate patient encounters using multiple systems applications and registration applications.
  • Document all findings and communications thoroughly in the patient record.
  • Meet or exceed productivity standards in the completion of daily assignments.
  • Comply with all departmental and organizational policies and procedures.

Requirements:
  • High School Diploma or equivalent.
  • At least one year of patient access, insurance verification, prior authorization, or related experience.
  • 3 years of prior authorization or related experience preferred.

About UofL Health:

UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, and nearly 200 physician practice locations. We are committed to delivering patient-centered care to each and every patient, every day. Our team of highly skilled healthcare professionals is dedicated to providing exceptional care and service to our patients and their families.
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