Pre Certification Coordinator
Financial Health Strategies - Atlanta, GA

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JOB DESCRIPTION

Determine hospital patients eligibility for service through pre-certification, prior authorizations and insurance verification.

ESSENTIAL DUTIES AND RESPONSBILITIES

  • Verify patients eligibility of services.
  • Determine if retroactive authorizations are required.
  • Submit authorizations/follow-up requests to GA Medicaid.
  • File written and verbal appeals, when required.
QUALIFICATIONS

  • Extensive knowledge and experience with GA Medicaid, billing and follow-up procedures.
  • Ability to write clinicals and assessments after reviewing patient charts.
  • 2+ years of experience in institutional billing/followup/precertifiations.
  • Quick comprehension of processes and multiple insurance web-portals.
  • Knowledge of HIPAA regulations.
  • Use and knowledge of MS Office.
  • Ability to work independently with minimal supervision.
  • Minimum of 20 hours per week required.

About this company
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