PC Authorization Associate II Position Available In Fulton, Georgia
Tallo's Job Summary: The PC Authorization Associate II is responsible for obtaining pre-certification and pre-authorization for complex outpatient hospital services and procedures. This remote position requires a high school diploma or GED, with three years of revenue cycle experience in healthcare. Additional qualifications include a Bachelor's degree and certification in revenue cycle management.
Job Description
Description:
RESPONSIBLE FOR
Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for complex outpatient hospital services, and specialized procedures (i.e. Recurring Visits, Surgeries, IR). Obtains pre-certification or pre-authorization prior to the scheduled complex service being performed. Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information. Notify payers of admittance if required. •
REMOTE/WORK FROM HOME
•
Qualifications:
MINIMUM EDUCATION REQUIRED
High school diploma or
GED MINIMUM EXPERIENCE REQUIRED
Three (3) yrs exp in Rev Cycle or related exp in healthcare, with one of those years working specifically within Healthcare Revenue Cycle.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW
None
ADDITIONAL QUALIFICATIONS
Four (4) years of previous related healthcare Revenue Cycle experience preferred. A Bachelor’s degree from a recognized college or university preferred. Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative preferred. Prior Epic experience preferred. Clinical experience (i.e. medical assistant, surgical tech) or completion of medical coder training program preferred.
