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Pre-Certification Coordinator

1 month ago

Maury City TN, United States Maury Regional Hospital Full time

Job Summary:

The Pre-Certification Specialist plays a vital role in ensuring the smooth operation of our healthcare services. This position requires advanced knowledge of office equipment, computers, and insurance websites, as well as a deep understanding of healthcare insurance payers and authorization guidelines.

Key Responsibilities:

  • Schedule and obtain insurance pre-certification/pre-determination, and evaluate medical necessity compliance prior to patients receiving medical services.
  • Obtain demographic information and validate insurance.
  • Answer and provide resolution for any questions received from patients, visitors, and staff.

Requirements:

  • Associate's degree or equivalent preferred.
  • 3 years of related experience required.
  • High school diploma or equivalent.

About Maury Regional Health:

Maury Regional Health is a leading healthcare provider in southern Middle Tennessee, with a commitment to patient-centered care and a reputation for excellence.

Career Advancement Opportunities:

Maury Regional Health offers a range of career advancement opportunities, including cross-training, mentorships, and internal promotions.

Benefits:

Competitive pay, comprehensive benefits package, and a commitment to employee well-being.