This position is responsible for obtaining and completing all insurance precertifications and authorizations as required for various clinical procedures. Determines necessity for precertification and coordinates with insurance companies, patients and clinical staff to obtain information. Maintains complete and accurate documentation in patient charts. Develops and maintains effective relations with insurance companies, physicians and medical office staff. Must have proficient knowledge of insurance requirements, medical/clinical terminology, medical necessity associated with various clinical procedure codes and certification/referral work flow. This position requires the ability to work with minimal supervision.
- Education: Graduate of an accredited Practical Nurse program required. Licensure/Certification: Current state licensure as a Practical Nurse (or licensure from a state within the Nursing Compact) required.
- Experience: Minimum of three years' experience in medical registration/admissions, precertification and/or medical insurance required. Minimum of 6 months' continuous LPN experience required.