Pre-Certification Specialist

5 days ago


Knoxville, Tennessee, United States Tennessee Full time
{"title": "Pre-Certification Specialist", "description": "Overview

We rely on dedicated professionals like you to help us deliver exceptional patient care at Tennessee Cancer Specialists. As a Pre-Certification Specialist, you will play a vital role in ensuring our patients receive the necessary treatments and medications in a timely manner.

Key Responsibilities
  • Obtain prior authorization from insurance carriers for ordered medications and treatments
  • Communicate effectively with payors to resolve authorization issues
  • Work collaboratively with our clinical teams to ensure seamless patient care
  • Provide exceptional customer service to patients, families, and healthcare providers
Requirements
  • High school diploma or equivalent required; associate's degree in a business-related field preferred
  • Prior experience as a medical assistant or LPN is a plus
  • Proficiency in electronic health records, payor portals, and Microsoft Office is essential
  • At least one year of direct experience in a similar position is required
Work Environment

As a Pre-Certification Specialist, you will work in a fast-paced office environment with frequent interaction with patients, clinical staff, and payers. You must be able to sit for extended periods, use a computer, and lift up to 30 pounds.

", "lang_code": "en-US"}

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