Precertification Specialist

A company is looking for a Precertification Specialist. Key Responsibilities Contact insurance companies and third-party administrators to determine pre-authorization and medical necessity requirements for outpatient radiology exams Obtain pre-authorization before scheduled services are performed Act as a liaison between patients and referring physician offices to gather additional clinical documentation when necessary Required Qualifications, Training, and Education Background in healthcare is preferred Working knowledge of medical billing and managed care Experience with eClinicalWorks Practice Management System is preferred Proficient phone and computer skills Ability to communicate effectively with patients, physicians, clients, and coworkers

Mar 20, 2025 - 16:34

A company is looking for a Precertification Specialist. Key Responsibilities Contact insurance companies and third-party administrators to determine pre-authorization and medical necessity requirements for outpatient radiology exams Obtain pre-authorization before scheduled services are performed Act as a liaison between patients and referring physician offices to gather additional clinical documentation when necessary Required Qualifications, Training, and Education Background in healthcare is preferred Working knowledge of medical billing and managed care Experience with eClinicalWorks Practice Management System is preferred Proficient phone and computer skills Ability to communicate effectively with patients, physicians, clients, and coworkers