Precertification Specialist Assistant Position Available In Chatham, Georgia
Tallo's Job Summary: The Precertification Specialist Assistant in Savannah, GA is responsible for ensuring scheduled elective accounts have obtained certification. This role requires strong communication skills, industry knowledge, and a focus on customer service. Preferred qualifications include a high school diploma, 2-3 years of clerical experience, and 1-2 years of insurance experience. Responsibilities include compiling reports, reviewing accounts for certification, and collaborating with other departments to prevent denials.
Job Description
Precertification Specialist Assistant
Savannah, GA
System
- Insurance/Payment Verification
Full Time - Other
Req #:
PR21183-14601
Position Summary
The PreCertification Specialist Assistance (PSA) is responsible for reviewing scheduled elective accounts to ensure that certification has been obtained. The PSA will maintain open communication and be available to component organizations and practitioner sites for consultation. The PSA will provide excellent internal and external customer service and maintain a working knowledge of industry standards to ensure timely, quality services in accordance with contractual agreements, federal regulations, hospital policies, procedures and professional standards.
Education
High School Diploma
- Preferred
Experience
2-3 Years Clerical - Required
1-2 Years Insurance - Preferred
License & Certification
None Required
Core Job Functions
Compile and distribute daily service report.
Review account to determine if certification is required. Work with physician offices and other hospital departments to make sure required certification is obtained and documented.
Determines if authorization is required. Accurately documents account information.
Monitor various reports for precertification need. Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
Review updated information from payers, Monitor web portal alerts from payer. Maintains updated files on specific payer requirements.
