Precertification & Prior Authorization Pro

SGMC; Valdosta (GA); On-site; USD 36,000 - 48,000; Full time

Job summary

SGMC Health in Georgia seeks a detail-oriented administrative coordinator to obtain precertification and prior authorization for tests and treatments. You will review information, upload Authorization documentation into Mosaiq and HIS Series, and maintain the medical record with proper documentation.

This role supports the Central Scheduling department in a fast-paced hospital setting. The ideal candidate has a high school diploma, 1+ year of admin experience in a medical office, and strong

Qualifications

• High school graduate preferred.
• Minimum 1 year of administrative experience, preferably in a hospital/medical setting.
• Excellent computer skills (Windows, Outlook, Word, Excel) and familiarity with office equipment.

Responsibilities

• Obtain precertification and/or prior authorization for imaging, injections, chemotherapy, and radiation treatments.
• Ensure precertification/authorization by 2:00 p.m. the day before appointments or reschedule as needed.
• Verify accuracy of information and upload authorization numbers and documents into Mosaiq and HIS (Series).
• Use Quality Check List (QCL) in Mosaiq and document in Mosaiq as the official medical record.
• Assist with program development and perform other duties as assigned by manager.

Skills

High school graduate

Administrative experience

Computer skills

Medical office software

Communication skills

Attention to detail

Flexibility

Education

High school diploma

Tools

Mosaiq

HIS Series

Microsoft Office

Job description

SGMC Health in Georgia seeks a detail-oriented administrative coordinator to obtain precertification and prior authorization for tests and treatments. You will review information, upload Authorization documentation into Mosaiq and HIS Series, and maintain the medical record with proper documentation.

This role supports the Central Scheduling department in a fast-paced hospital setting. The ideal candidate has a high school diploma, 1+ year of admin experience in a medical office, and strong