Precert and Insurance Specialist

  • location: Powell, TN
  • type: Temp to Perm
  • salary: $13 - $16 per hour

job description

Precert and Insurance Specialist

We are currently recruiting for a local medical office located in Knoxville that is looking for a  Pre-cert specialist to join their team!   Successful applicants will play an important role in ensuring the success and continued growth of the clinic and company by assisting in the delivery of a quality personal experience for every patient. Knowledge of procedure authorization and its direct impact on the practice’s revenue cycle • Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively • Proficient use of CPT and ICD-10 codes • Excellent computer skills including Excel, Word, and Internet use • Detail oriented with above average organizational skills • Plans and prioritizes to meet deadlines • Ability to multitask and remain focused while managing a high-volume, time-sensitive workload If you have already spoken to us, please contact us regarding your availability. 

Responsibilities

Review chart documentation to ensure patient meets medical policy guidelines • Prioritize incoming authorization requests according to urgency • Obtain authorization via payer website or by phone and follow up regularly on pending cases • Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations • Initiate appeals for denied authorizations • Respond to clinic questions regarding payer medical policy guidelines • Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order • Contact patients to discuss authorization status • Other duties as assigned



Skills

  • CPT Codes
  • Excel
  • Microsoft Office
  • Meets Deadlines
  • Medical Terminology
  • Medical Software
  • Claims Processing
  • Health Insurance Policies
  • Written Communication
Education
  • No Degree Required
Qualifications
  • Years of experience: 3 years
  • Experience level:Experienced
Shift: First

Working hours: 8 AM - 5 PM

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.

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