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PA - Pre-Certification Rep -TUHS - Rotating - 13211

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Raisso Inc.

2024-11-05 18:44:29

Job location Philadelphia, Pennsylvania, United States

Job type: fulltime

Job industry: Administration

Job description

Job Description:

Hours: Rotating 8a-5p
Location:
604 Cottman Avenue
Cheltenham, PA 19012
Job Summary
This position is responsible for confirming and satisfying all billing requirements by obtaining the appropriate pre-certification/authorization from all necessary payers to avoid payment penalties. Responsible to confirm the financial/insurance information obtained during the registration process to determine that State, Federal and Third Party precertification/billing requirements are met to ensure optimal reimbursement for services to be rendered.
Requirements
Education High School Diploma or Equivalent (Required)
Experience 1 Year experience as an Insurance Specialist or equivalent hospital pre-certification/utilization role (Required)
We are looking for candidates with experience in obtaining authorizations for chemotherapy and outpatient surgical procedures. In particular, experience with gastro, urology, and orthopedics.(Required)

Position Urgency:
Normal

State License Details:
Not Needed

Minimum Years of Experience:
1

Minimum Guaranteed Hours:
No Guarantee

Sub Specialty:
Patient Access Representative

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