Pre-certification Specialist - Annapolis, United States - Solaris Health Holdings LLC

Mark Lane

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Mark Lane

beBee recruiter


Description
:


This is an in-office position


Our Billing Department is seeking an experienced Prior Authorization Specialist to perform in depth insurance and benefit investigations for complicated surgical cases.

This position requires strong organizational skills, great attention to detail and the ability to multi-task. The ideal applicant must have prior experience in obtaining surgical authorizations, insurance verification, benefit investigation and charge posting. Must be able to work in a fast paced environment.


The duties include, but are not limited to:


  • Insurance verification (Medicare, Medicaid, commercial, Worker's Comp)
  • Insurance benefit investigation
  • Prior Authorizations for 15+ physicians for multiple hospitals and Ambulatory surgery centers
  • Communication with patients regarding their financial responsibility
  • Collection of all patient financial obligations prior to surgery
  • Charge Posting for hospital and/or Ambulatory Surgery Center cases

Requirements:


Education/Experience:

High school diploma or general education degree (GED) and 1 year related work experience


Requirements:


  • Positive attitude
  • Keen attention to detail
  • Previous similar experience
  • Excellent communication skills

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