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Insurance Authorization Specialist
2 months ago
Position Title: Pre-Certification Specialist
Location: Maury Regional Medical Center
Shift: Full Time 8:30 AM - 5:00 PM
Position Overview:
The role of the Pre-Certification Specialist encompasses a range of technical skills, including:
- In-depth understanding of office machinery, computer systems, and insurance platforms.
- Comprehensive knowledge of various healthcare insurance providers and their authorization protocols.
- Effective communication of clinical documentation and insurance requirements for authorization.
As a key member of our team, you will:
- Foster a welcoming environment for patients, families, visitors, and staff while managing scheduling and pre-certification tasks.
- Coordinate and secure insurance pre-certification and pre-determination, assessing medical necessity compliance before services are rendered, ensuring precision and promptness.
- Collect and verify demographic data and insurance details.
- Address and resolve inquiries from patients, visitors, and staff efficiently.
Qualifications:
- Associate's degree preferred.
- A minimum of 3 years of relevant experience required.
- High School Diploma or equivalent preferred.
About Maury Regional Health:
Maury Regional Health stands as the largest healthcare system between Nashville and Huntsville, employing approximately 2,800 individuals and hosting over 200 physicians across various facilities, including:
- Maury Regional Medical Center (Columbia)
- Marshall Medical Center (Lewisburg)
- Wayne Medical Center (Waynesboro)
- Lewis Health Center (Hohenwald)
- Maury Regional Medical Group physician practices
- Additional locations
Why Consider Joining Our Team?
- Culture: Recognized for our Magnet designation and commitment to patient-centered care.
- Recognition: Acknowledged as one of the Best Places for Working Parents for 2024.
- Educational Opportunities: We offer educational assistance, including tuition reimbursement, student loan repayment, and mentorship programs for eligible candidates.
- Career Development: Opportunities for cross-training, mentorship, and internal promotions.
- Benefits: Competitive compensation and a comprehensive benefits package, including medical, vision, and dental coverage, retirement matching, and complimentary parking on campus.
Maury Regional Health is dedicated to the principles of Equal Employment Opportunity, ensuring fair treatment for all qualified individuals without discrimination based on race, color, religion, sex, national origin, disability, age, or any other status protected by law. All campuses are tobacco-free, prohibiting any tobacco use.
