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Precertification Analyst – Surgery
CoxHealthPrecertification Analyst securing insurance authorizations for medical tests and procedures at CoxHealth. Handling patient records and coordinating with insurance reviewers for approvals.
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
medical terminologydata entryauthorization processinginterpretation of medical records
Soft Skills
analytical skillsproblem solvingcommunication skillstime managementorganizationprioritizingdecision-makingplanningflexibilitymulti-tasking
Tools & Technologies
computer programsinsurance websites
Certifications & Qualifications
High School DiplomaMedical Assistant Degree
Industry Keywords
insurance authorizationspatient medical recordsinsurance benefits
About the role
Key responsibilities & impact- The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations.
- Interprets patient medical records and reviews cases with the insurance nurse reviewer.
- Accurately enters information into multiple computer programs and insurance websites.
Requirements
What you’ll need- Required: High School Diploma or Equivalent
- Preferred: Medical Assistant Degree
- Required: 1 Year Related Experience
- Preferred: 6 months experience with medical terminology
- Strong analytical/problem solving skills.
- Ability to communicate effectively with different levels of management, nursing, physicians, and insurance nurse reviewers.
- Excellent time management, Communication skills, organization, prioritizing, decision-making, and planning skills.
- Flexibility and ability to work in a multi-tasking environment.
- Ability to understand and interpret insurance benefits
- Ability to understand multiple computer programs and multiple insurance websites.
Benefits
Comp & perks- Medical
- Vision
- Dental
- Retirement with Employer Match and more (20+ hrs/week)