1 Pre-certification Specialist Job in Kansas, KS
Pratt Regional Medical Center is Hiring a Pre-certification Specialist Near Kansas, KS
Job Duties
- Review chart documentation to ensure patient meets medical necessity guidelines
- Prioritize incoming authorization requests according to urgency
- Obtain authorization via payer website or by phone and follow up regularly on pending cases
- Maintain current with payer requirements needed to successfully obtain authorizations
- Initiate appeals for denied authorizations
- Respond to clinic questions regarding payer medical necessity guidelines
- Confirm accuracy of CPT and ICD-10 diagnoses in the procedure orders
PI248530989
Job Summary
Full Time
Hospital
$52k-70k (estimate)
09/02/2024
09/29/2024
prmc.org
PRATT, KS
200 - 500
1950
Private
SUSAN PAGE
$10M - $50M
Hospital
Related Companies
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