Precertification and Authorization Rep-Remote - Rochester
1 month ago

Job summary
The Precertification and Authorization Representative is an intermediate level position responsible for resolving referral precertification andor prior authorization to support insurance specific plan requirements.A high school diploma or GED and 2+ years of relevant experience are required OR a bachelors degree is required. Additional requirements include prior authauthorization cancer services Microsoft Office radiation oncology insurance verification appeals and pre determination experience preferred. This position requires general knowledge of healthcare terminology CPT-ICD10 codes basic knowledge ofandexperience in insurance verification claim adjudication excellent verbal communication skills ability to work in a complex environment with varying points of view comfort with ambiguity good decision making judgment capabilities attention to detail knowledge of denial codes preferredknowledgeofandexperienceusinganEpicRC/EMRsystemispreferredhealthcarefinancialmanagementassociationhfmacertificationpreferredthispositionis100%remoteindividualmayliveanywhereintheusduringtheselectionprocessyoumayparticipateinanondemandpre-recordedinterviewthatyoucancompleteatyourconvenience
Job description
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