Medical Office PreCertification Specialist

North American Medical Associates is a fast growing multi-speciality medical practice witha team of doctors and professionals devoted to the art of diagnosing, managing and treating disordres. We also aim to go beyond treatment to imporve quality of life and productivity.

Job Summary:

The Precertification Specialist is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all payers.

Company Overview:

North American Medical Associates (NAMA) is a growing organization with a team of doctors and professionals devoted to the art of pain management: diagnosing, managing, and treating chronic pain conditions and neurological disorders. We also aim to go beyond treatment of pain, to improve your quality of life and productivity.

Essential & Non-Essential Job Functions/Position Responsibilities:

The Precertification Specialist performs a wide range of duties, including, but not limited to the following: 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 diagnosis in the procedure order. Contact patients to discuss authorization status. Other duties as assigned. Hourly rate $18 and up depending on experience

Benefits:

Medical, Dental, Vision, Prescription, PTO, 401k and other miscellaneous benefits