Remote Precertification Representative

A company is looking for a Precertification and Authorization Representative for a remote position. Key Responsibilities Resolve referral, precertification, and prior authorization for various insurance plans Conduct pre-appointment insurance reviews and manage denials recovery functions Adhere to quality assurance guidelines and productivity standards Required Qualifications High School Diploma or GED with 2+ years of relevant experience, or a Bachelor's degree General knowledge of healthcare terminology and CPT-ICD10 codes Basic knowledge of insurance verification and claim adjudication preferred Experience using an Epic RC/EMR system preferred Healthcare Financial Management Association (HFMA) Certification preferred

Apr 2, 2025 - 20:42

A company is looking for a Precertification and Authorization Representative for a remote position. Key Responsibilities Resolve referral, precertification, and prior authorization for various insurance plans Conduct pre-appointment insurance reviews and manage denials recovery functions Adhere to quality assurance guidelines and productivity standards Required Qualifications High School Diploma or GED with 2+ years of relevant experience, or a Bachelor's degree General knowledge of healthcare terminology and CPT-ICD10 codes Basic knowledge of insurance verification and claim adjudication preferred Experience using an Epic RC/EMR system preferred Healthcare Financial Management Association (HFMA) Certification preferred