Precertification Specialist
Wellstar Health Systems

Marietta, Georgia

Posted in Health and Safety


This job has expired.

Job Info


Overview

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Responsibilities

The Medical Imaging Pre-Authorization Specialist functions under the direction of the PreAuthorization Supervisor/ Manager and Diagnostic Outreach VP. Provides outstanding customer service to customers in a fast-paced busy environment. Drive volumes and increase revenue by obtaining Pre-Authorization for Outpatient Medical Imaging in a timely Manner. Observing Quality and Productivity standards and other Key Performance Indicators. Responsible for performing a wide variety of clerical procedures that requires independent judgment, ingenuity and initiative in the utilization of computers and other equipment. Knows the existing lines of communication and authority, handles communications properly and is dependable and cooperative. Works with staff and understands appropriate scheduling and authorization process, willing to learn procedures/patient preps. Assist Scheduling, patient and physician's office staff with authorization issues in a timely manner. Communicate any authorization issues with the patient and provider within 24 hours of the patients' appointment. Make all efforts to avoid Denials, assist with Denials, claim edits, and reconsiderations when needed. Support Revenue cycle. Must be flexible with work hours to meet department needs.
Qualifications

Required Minimum Education

  • High School graduate or equivalent.
Required Minimum Experience
  • 1 year experience in customer service and/or healthcare setting preferred
  • One year experience in insurance / benefits preferred
Required Minimum Skills
  • Strong customer service skills, communication skills and organizational skills
  • Basic typing and data entry experience
  • Experience in computer usage and Medical Terminology preferred
  • This position requires a high level of attention to detail and a low error rate, as the consequences of even a minor mistake can be significant for patients and providers
  • requires regular, reliable attendance


This job has expired.

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