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Precertification Analyst
CoxHealthPrecertification Specialist responsible for securing insurance authorizations for procedures at CoxHealth. Reviewing patient records and entering information into various systems while collaborating with healthcare providers.
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 VA/TriWest 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)
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical terminologyinsurance authorizationspatient medical records interpretationdata entryinsurance benefits understanding
Soft Skills
analytical skillsproblem solvingcommunication skillstime managementorganizationprioritizingdecision-makingplanningflexibilitymulti-tasking
Certifications
High School DiplomaMedical Assistant Degree