What are the responsibilities and job description for the PPG Cardio Pre-Cert/Disab Spec position at Parkview Health?
Summary
Primary duty is to obtain pre-certification and prior authorization as needed for procedures ordered by PPG Cardiology Physicians. Communicates with insurance companies, physician offices, patients, and nursing staff in order to obtain all information needed for the approval of the authorization for the ordered/scheduled procedure or test. Must be able to identify the testing and insurance companies that require prior authorization. Secondary duty is to complete and mail/fax all short term/long term disability forms, FMLA, CDL recertification and many other forms for the entire practice.
Education
Must be a high school graduate or equivalent/GED. Medical Terminology required.
Licensure/Certification
N/A
Experience
Must have at least 3 years experience with physician insurance/billing department. Minimum of 3 years experience in a health care setting.
Other Qualifications
In depth knowledge of the insurance requirements for pre-certifying tests and procedures. Familiarity with clinical documentation is essential. Must possess basic computer knowledge and skills. Must have excellent verbal and written communication skills, very organized and detail oriented with the ability to multi-task and prioritize.
Why Parkview?
We have everything you’re looking for in a career; great compensation and benefits; skill development and career advancement programs and more. At Parkview, we are committed to providing excellent care to each patient within our clinics and medical practices. The success of this mission begins with care team members like you.
- Benefits: Health benefits, paid time off, employee assistance, community vendor discounts, payroll deduction options
- Sign-on bonus: For certified and uncertified Medical Assistants, LPN’s, and RN’s hired in part-time and full-time positions.
- Education: Clinical Orientation, tuition assistance, certification reimbursement
- Growth: Parkview’s Medical Assistant Advancement Pathway (MAAP)
- Culture: World-class teamwork, Personalized health journeys for co-workers and family members
