What are the responsibilities and job description for the Precertification Specialist (Local Remote) position at FIRST UROLOGY P S C?
Job Details
Description
About First Urology
As the largest Urologic provider in Kentuckiana, it is our mission to find solutions to a wide range of urologic issues and to provide the community with quality, convenient care. We do this by employing highly skilled, attentive and compassionate staff who have expertise in the field of urology and a passion for research. If you enjoy working with the most advanced therapies in the industry and carry a high standard of patient care, First Urology is a great place to grow your career! We have been awarded Best Places to Work in Louisville and Southern Indiana eight years in a row and provide full benefits, competitive salaries, and room to grow from within.
Job Summary
First Urology is seeking a detail-oriented and collaborative precertification specialist with a strong background in prior auths and experience with cancer medication. The perfect candidate will have a strong understanding of cancer diagnosis and an in-depth understanding of authorizations.
Responsibilities
- Develop effective relationships with insurance company representatives.
- Utilize ICD-10 and CPT codes to ensure proper authorization for procedure and claims payment.
- Responsible for obtaining pre-authorization as needed per insurance company requirements.
- Track a significant amount of data and information, preparing and producing meaningful information.
- Provides detailed, accurate, and current clinical information to insurance representatives.
- Maintain a strong working knowledge of precertification requirements by insurance carriers.
- Perform any other related duties as directed by the manager.
Job Type: Full-time
Pay: BOE
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Qualifications
Qualifications
- High School diploma or equivalent
- Minimum of one (1) year experience in the role of Pre-Certification and Insurance Specialist, Intake Representative, Insurance Representative, or Prior Authorization Representative or related field in a healthcare setting.
