Precertification Specialist

Center for Orthopaedics LLC.; Lake Charles (LA); On-site; USD 32,000 - 42,000; Full time

Job summary

Center for Orthopaedics LLC is seeking an Authorization Specialist to handle insurance verification, prior authorizations, and all notification requirements before procedures. You will manage authorization workflows for inpatient and outpatient surgeries and assist with denial management to support timely patient care.

The role requires the ability to multitask under pressure, solid knowledge of medical policy guidelines, and attention to detail to prevent delays in approvals and ensure

Job description

GENERAL SUMMARY OF DUTIES:

Responsible for obtaining appropriate insurance verification, prior approval and all authorization requirements prior to a patient's arrival for a procedure or surgery. To perform authorization activities of inpatient and outpatient surgeries along with in office procedures, and assist with denial management. Need to demonstrate, through actions, the ability to multi-task and work under pressure. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization related activities including pre-authorizations, notifications, medical policy guidelines and denials.