5 Jobs in Gainesville, FL
The Cardiac Vascular Institute is Hiring a Pre-Cert Specialist (Insurance) Near Gainesville, FL
JOB TITLE: Pre-Certification Specialist
GENERAL SUMMARY OF DUTIES: Obtain insurance authorizations
FLSA STATUS: Non-Exempt
ESSENTIAL FUNCTIONS:
- Pre-certify insurance and obtain authorizations for all office appointments (Office Visits, Testing, Nuclear, and PET)
- Submit denied authorization requests for Clinical Review, Peer-to-Peer Review, or file appeals with the insurance company.
- Verify patient insurance information prior to appointment date.
- Scan all documentation regarding cardiac procedures, testing, and referrals.
- All other duties as assigned.
EDUCATION: High School graduate or GED
EXPERIENCE: Minimum 1 year insurance experience in a health care organization or specialty practice, preferably Cardiology-based.
REQUIREMENTS: Proficiency in standard EHR and Practice Management software is required. Proficiency in medical terminology with emphasis on Cardiology. Working knowledge of insurance guidelines and terminology as well as CPT and ICD-10 coding. Basic knowledge of electronic medical records retrieval system, computers, and the Internet. Perform multiple tasks and meet deadlines. Communicate effectively, efficiently, and professionally. Knowledge of Intergy and Medical Manager systems highly preferred.
KNOWLEDGE:
- Knowledge of basic cardiology and medical coding terms.
- Knowledge of medical terminology.
- Knowledge of insurance industry.
- Knowledge of Microsoft Word and Excel
PHYSICAL/MENTAL DEMANDS: Work requires hand dexterity for office machine operation, stooping and bending to files and supplies, and sitting for extended periods of time. Manual dexterity for using a calculator or computer keyboard.
Job Summary
Full Time
Scientific Services
$34k-42k (estimate)
05/28/2023
06/29/2024
tcavi.com
GAINESVILLE, FL
50 - 100
1974
$5M - $10M
Scientific Services
Related Companies
The job skills required for Pre-Cert Specialist (Insurance) include CPT, Communicates Effectively, EHR, etc. Having related job skills and expertise will give you an advantage when applying to be a Pre-Cert Specialist (Insurance). That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Pre-Cert Specialist (Insurance). Select any job title you are interested in and start to search job requirements.
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