Precertification Specialist

Bryn Mawr Medical Specialists Association; Bryn Mawr (PA); Vor Ort; USD 25.000 - 28.000; Teilzeit

Benefits dieser Stelle

401(k)

Disability insurance

Flexible spending account

Health insurance

Life insurance

Paid time off

Vision insurance

Zusammenfassung

Bryn Mawr Medical Specialists Association is seeking a part-time Precertification Specialist in the Pulmonary department to join our expanding team. The ideal candidate will have experience in precertifications, billing, and prior authorization and a willingness to learn.

Core duties include reviewing chart documentation for medical policy, prioritizing authorization requests by urgency, obtaining authorizations via payer websites or phone, and maintaining payer files with up-to-date

Qualifikationen

• Experience in precertifications, billing, and prior authorization.
• Experience reviewing chart documentation for medical policy eligibility.
• Willingness to learn and grow in a part-time role.

Aufgaben

• Review chart documentation to ensure patient meets medical policy guidelines.
• Prioritize incoming authorization requests according to urgency.
• Obtain authorization via payer website or by phone and follow up on pending cases.
• Maintain payer files with up-to-date requirements for authorizations.
• Confirm accuracy of CPT and ICD-10 codes.
• Coordinate and confirm insurance coverage and payments for prescriptions and procedures.

Kenntnisse

Insurance verification

Multiple insurances

Ausbildung

High School Diploma or equivalent

Jobbeschreibung

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Salary Range: $18.00 To $20.00 Hourly

The Pulmonary department at Bryn Mawr Medical Specialists Association is in need of a part-time Precertification Specialist to join their growing team. The ideal candidate will be experienced in precertifications, billing, and prior authorization. This person will be responsible for all office related precerts. However, candidates with less experience but a willingness to learn are encouraged to apply!

Responsibilities:

• Reviewing chart documentation to ensure patient meets medical policy guidelines
• Prioritizing incoming authorization requests according to urgency
• Obtaining authorization via payer website or by phone and following up regularly on pending cases
• Maintaining individual payer files to include up to date requirements needed to successfully obtain authorizations
• Confirming the accuracy of CPT and ICD-10
• Coordinating and confirming insurance coverage and payments on prescriptions, procedures, and other services

Qualifications:

• Insurance verification experience
• Experience working with multiple health insurances
• High School Diploma or equivalent
• 401(k)
• Disability insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

The potential base pay range for this position is $18-$20 per hour.

The pay listed in this job posting is a good faith determination of potential base compensation that may be offered and is not a guarantee of a particular wage. Actual base pay will vary and is commensurate with the applicant’s knowledge, experience, education, skills, training, certifications, and qualifications required for the role. In addition, the listed pay range is based on factors at the time of this job posting and may be modified in the future based on market data, internal equity, and the budget of the department hiring for this position. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer. Benefits, PTO, and Holiday Pay are only available to employees working 24 hours or more per week.

For questions, please call 484-272-3270 ext. 3026. or email [e-mail].