What are the responsibilities and job description for the Precertification Specialist position at Vascular and Vein institute of the South?
Precertification Specialist
Status: Non-Exempt
Benefits: Medical|401K|Vacation|LTD & STD
Employment Type: Full-Time
Location: Germantown, TN
Job Description
Looking to hire a Precertification Specialist at the Vascular & Vein Institute of the South's Germantown office. We are seeking a savvy, strong-minded individual with excellent people skills. Must be dependable, team-oriented, and able to adjust in a fast-paced environment.
Benefits: Medical|401K|Vacation|LTD & STD
Employment Type: Full-Time
Location: Germantown, TN
Essential Duties and Responsibilities:
- Review chart documentation to ensure patient meets medical policy guidelines
- Prioritize incoming authorization requests according to urgency
- Obtain authorization via payer website or by phone and follow up regularly on pending cases
- Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations
- Initiate appeals for denied authorizations
- Respond to clinic questions regarding payer medical policy guidelines
- Confirm accuracy of diagnoses in the procedure order
- Contact patients to discuss authorization status
- Protect organization’s value by keeping information confidential
- Contribute to team effort by accomplishing related results as needed
- All other duties as assigned
Skills and Qualifications:
- Knowledge of procedure authorization and its direct impact on the practice’s revenue cycle
- Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively
- Basic understanding of human anatomy
- Excellent computer skills including Excel, Word, and Internet use
- Excellent customer service skills; communicates clearly and effectively
- Ability to multitask and remain focused while managing a high-volume, time-sensitive workload
- Strong attention to detail with ability to prioritize tasks and work under tight deadlines
- 2 years medical prior authorization experience preferred
- 2 years’ experience in a medical related field required
Why You Want to Work at Vascular and Vein Institute:
- Growing vascular practice with potential for career advancement
- Highly collaborative and high-energy work environment
- Competitive salaries
- Benefits include health, dental, vision, life, and disability insurance, 401(k), and more
- Company culture of promotions from within and an atmosphere allowing for varied and rapid career development
- Casual dress attire
This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice. Job may require traveling overnight, driving long distances as required, and sitting for extended periods of time with occasional walking and standing and occasionally lifting or carrying articles weighing less than 50 pounds.
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- Health Insurance Verification Occupations: 1 year (Required)
- Medical billing: 1 year (Required)
Work Location: In person
