What are the responsibilities and job description for the Precertification Specialist position at Bryn Mawr Medical Specialists Association?
The BMMSA Pulmonary department is looking for an experienced Precertification Specialist to join their growing team. This is a part-time position that will work 2-3 days per week. The ideal candidate will be experienced in precertifications, billing, and prior authorization. This person will be responsible for all office related precertifications.
Responsibilities:
- Reviewing chart documentation to ensure patient meets medical policy guidelines
- Prioritizing incoming authorization requests according to urgency
- Obtaining authorization via payer website or by phone and following up regularly on pending cases
- Maintaining individual payer files to include up to date requirements needed to successfully obtain authorizations
- Initiating appeals for denied authorizations
- Confirming the accuracy of CPT and ICD-10
- Coordinating and confirming insurance coverage and payments on prescriptions, procedures, and other services
Qualifications:
- Precertification experience
- Prior authorization experience
- Insurance verification experience
- Experience working with multiple health insurances
- High School Diploma or equivalent
Job Type: Part-time
Pay: $17.00 - $19.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
For questions, please call 484-272-3270 ext. 3026. or email agorsonmarrow@bmmsa.com
Salary : $17 - $19
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