What are the responsibilities and job description for the Precert Specialist - Business Office position at Imperial Health?
Job Title :
Insurance Pre-Certification Specialist
This position is : Full Time
Position Location : Lake Charles, LA
GENERAL SUMMARY OF DUTIES :
The purpose of this position is to gather benefits and eligibility information from insurance companies, to obtain eligibility verification for patients, and to relay benefit information and an estimated cost of treatment.
ESSENTIAL FUNCTIONS :
- Responsible for assuring appropriate insurance verification, prior approvals, and all authorization requirements are obtained prior to the patient's arrival for surgery or procedure.
- Communicate with physicians, mid-level providers, and clinical staff as needed to obtain and understand clinical documentation requirements
- Provide required clinical documentation to payers via phone, faxed forms, and / or website
- Contact Referring and other external providers as needed
- Clearly document authorization approvals and denials in Practice Management systems including authorization numbers and associated codes, dates, and other relevant data.
KNOWLEDGE :
EDUCATION :
High school diploma or equivalent
EXPERIENCE :
