Insurance Pre-Certification & Authorization Specialist

Imperial Health; Lake Charles (LA); Sur place; USD 42 000 - 62 000; Plein temps

Résumé du poste

Imperial Health in Lake Charles, LA seeks an Insurance Pre-Certification Specialist to gather benefits and eligibility information from insurers and verify patient eligibility. The role involves communicating with clinicians, obtaining required documentation, and relaying cost estimates for treatments.

The candidate should have basic insurance knowledge, experience with EMR/Practice Management systems, and strong computer skills. The position is full-time and on-site.

Qualifications

• Basic knowledge of managed care.
• Basic computer skills including typing and 10-key.
• Prior knowledge of insurance is helpful.
• Medical terminology knowledge is helpful.

Responsabilités

• Verify insurance verification, prior approvals, and authorization requirements before procedures.
• Communicate with physicians and staff to obtain documentation requirements.
• Provide clinical documentation to payers via phone, fax, or website.
• Contact referring providers as needed.
• Document authorization approvals and denials in Practice Management systems with codes and dates.

Connaissances

Managed care knowledge

Computer basics (typing/10-key)

Insurance knowledge

Medical terminology

Communication with clinicians

Formation

High school diploma

Outils

EMR systems

Practice Management

Microsoft Outlook

Microsoft Word

Microsoft Excel

Internet proficiency

Description du poste

Imperial Health in Lake Charles, LA seeks an Insurance Pre-Certification Specialist to gather benefits and eligibility information from insurers and verify patient eligibility. The role involves communicating with clinicians, obtaining required documentation, and relaying cost estimates for treatments.

The candidate should have basic insurance knowledge, experience with EMR/Practice Management systems, and strong computer skills. The position is full-time and on-site.