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Hybrid AR Precertification Specialist presso Visit To

Visit To · Huntsville, Stati Uniti d'America · Hybrid

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Primary Responsibilities/Requirements:

  • Pre-certify all patients for office visits, consults, testing, and procedures as required by each patient’s insurance company by monitoring patient schedules in the billing system for each department
  • Follow insurance company pre-certification requirements for approval, such as calling, faxing, emailing, logging into their system online, etc.
  • Assist accounts receivable, coding, registration, and insurance follow up staff on an as-needed basis
  • Answer requests from various departments regarding pre-cert requirements for various insurance companies
  • Reviews pre-cert requirements for insurance companies in timely manner to maintain up-to-date knowledge of requirements
  • Notifies appropriate staff on status of approval/denials.
  • Forwards denials to manager and appropriate staff for further review and decision making
  • Maintains strict confidentiality
  • Performs related work as required

Must also possess: 

  • HS Diploma/GED required
  • Three years insurance and/or billing experience preferred
  • One year of healthcare experience preferred
  • Coding, AR, Insurance reimbursement knowledge required.
  • Ability to work under pressure and meet deadlines
  • Outstanding organizational, verbal and writing skills
  • Independent and highly motivated
  • Initiative and self-discipline
  • Proven positive, "teamwork" attitude in work history

Physical Demands:

  • Must be able to use arms, hands, and fingers skillfully
  • Constant sitting for long periods of time
  • Must be agile and able to work efficiently in space limited areas
  • Consistently work at a productive pace
  • Must readily adapt to frequent treatment schedule changes
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