PC Authorization Associate I

Piedmont Healthcare Inc.; Atlanta (GA); On-site; USD 45,000 - 70,000; Full time

Job summary

Piedmont Healthcare Corporate in Atlanta, GA is seeking a detail-oriented revenue cycle professional to manage pre-certification and pre-authorization for outpatient visits. You will collaborate with physicians and staff to obtain demographic, insurance or clinical information and ensure timely submission.

Ideal candidates have 2 years in healthcare revenue cycle; 3 years in precertification/authorization preferred. GED required, Bachelor’s degree preferred, and coder training preferred.

Qualifications

• GED required.
• Bachelor’s Degree from a recognized college or university preferred.
• Completion of medical coder training program preferred.

Responsibilities

• Determine pre-certification, pre-authorization and/or medical necessity requirements for basic and moderately complex hospital outpatient visits.
• Obtain pre-certification or pre-authorization prior to the scheduled service being performed.
• Liaise with physicians and physician office staff to obtain demographic, insurance or clinical information.
• Notify the payer of admission if required.

Education

GED

Bachelor’s Degree

Medical coder training program

Job description

Overview

Experience the advantages of real career change

Join Piedmont to move your career in the right direction. Stay for the diverse teams you’ll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You’ll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future.

Responsibilities

Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for basic and moderately complex hospital outpatient visits. Obtains pre-certification or pre-authorization prior to the scheduled service being performed. Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information. Notifies the payer of admission if required.

Shift:

Monday through Friday 11:00am-7:30pm

2 Saturdays per month required

Qualifications

Education

• H.S. Diploma or General Education Degree (GED) Required
• Bachelor’s Degree from a recognized college or university Preferred
• Completion of medical coder training program Preferred

Work Experience

• 2 years in Healthcare Revenue Cycle or related healthcare experience Required
• 3 years related healthcare Revenue Cycle experience within precertification/authorization Preferred

Licenses and Certifications

• None Required
• Certification with Healthcare Financial Management Association Preferred
• Certified Revenue Cycle Representative Preferred

Business Unit : Company Name

Piedmont Healthcare Corporate