Precertification Specialist

Full Time
Philadelphia, PA 19111
$11.58 - $28.00 an hour
Posted
Job description

Hours: Days 8a-5p,Cottman Avenue location

Job Summary

This position is responsible for confirming and satisfying all billing requirements by obtaining the appropriate pre-certification/authorization from all necessary payers to avoid payment penalties. Responsible to confirm the financial/insurance information obtained during the registration process to determine that State, Federal and Third Party precertification/billing requirements are met to ensure optimal reimbursement for services to be rendered.

Requirements

  • Education High School Diploma or Equivalent (Required)
  • Experience 1 Year experience as an Insurance Specialist or equivalent hospital pre-certification/utilization role.
  • Candidates need actual pre-cert experience (obtaining authorizations from insurance companies for scheduled hospital services including radiology studies, surgical procedures, and chemotherapy(Required!)

Job Type: Full-time

Pay: $11.58 - $28.00 per hour

Schedule:

  • Monday to Friday

COVID-19 considerations:
must be fully vaccinated

Ability to commute/relocate:

  • Philadelphia, PA 19111: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • authorization of insurance: 2 years (Required)
  • pre-certification: 2 years (Required)
  • radiology studies, surgical procedures, and chemotherapy: 2 years (Required)

Work Location: In person

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