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Precertification Coordinator for Healthcare Services

2 months ago

Philadelphia, Pennsylvania, United States Beacon Hill Full time

Position Overview:

We are currently seeking a meticulous and knowledgeable Precertification Coordinator to enhance our team. The successful candidate will possess substantial experience in securing authorizations for chemotherapy and outpatient surgical interventions. This role is vital in facilitating timely access to essential medical treatments by obtaining necessary preauthorizations from insurance providers and other relevant entities.

Qualifications:

  • A minimum of 2 years of experience in securing authorizations for chemotherapy and outpatient surgical interventions.
  • In-depth understanding of insurance policies, medical terminology, and healthcare regulations.
  • Exceptional communication and interpersonal abilities to effectively engage with patients, healthcare professionals, and insurance representatives.
  • Detail-oriented with strong organizational and time-management capabilities to manage multiple authorization requests efficiently.
  • Proficient in utilizing healthcare management software and other pertinent computer applications.

Key Responsibilities:

  • Secure authorizations for chemotherapy and outpatient surgical interventions by collaborating with insurance providers and third-party payers.
  • Examine patient medical records and insurance policy details to assess the need for preauthorization.
  • Coordinate with healthcare professionals and administrative personnel to compile necessary documentation for authorization requests.
  • Maintain comprehensive records of authorization requests, approvals, denials, and follow-up actions.
  • Effectively communicate with patients, healthcare professionals, and insurance representatives to address any issues or discrepancies related to preauthorizations.

This position requires an experienced individual to join our team promptly. The role is structured to be onsite five days a week, with compensation up to $22 per hour based on experience. If you are passionate about the healthcare sector and eager to contribute your expertise, we encourage you to submit your updated resume.

Company Overview:

Beacon Hill is committed to establishing a new benchmark in search, career placement, and flexible staffing solutions. We pride ourselves on delivering coordinated staffing services with exceptional quality, a dedication to project completion, and a drive for innovation and continuous improvement.

Our specialized brands provide a comprehensive range of staffing services to both emerging growth companies and Fortune 500 organizations across various market sectors and disciplines. As we evolve, we will expand our office locations, specialty practice areas, and service offerings to meet the dynamic needs of our clients.

To learn more about Beacon Hill Staffing Group and our specialized divisions, please visit our website. We look forward to the opportunity to work with you.