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WK Bossier in Shreveport, LA is seeking a Pre-Certification Representative to handle pre-authorizations for scans, tests and procedures. The role requires clear communication with insurance companies, patients, and clinical staff to gather required information before services.
Attention to detail, timely processing, and familiarity with medical terms are important; prior referral experience is a plus.
Our clinic is searching for a qualified candidate to be a Pre-Certification Representative. They will be responsible for submitting requests to insurance companies to pre-authorize scans, tests, and procedures. Excellent communication skills are imperative as they will be speaking with insurance companies and patients to ensure we have all necessary information prior to procedures. They will also be responsible for communicating with the doctors and nurses if any issues arise or if there are any denials along the process, as well as coordinating with the hospital's pre-certification department to relay authorization info as needed. Computer skills are necessary for this job, and it will require timely scanning of all orders and information once a pre-authorization is completed. Medical terminology and/or prior experience in referrals is preferred.