Precertification Specialist

Center for Orthopaedics; Lake Charles (LA); On-site; USD 32,000 - 52,000; Full time

Job summary

Center for Orthopaedics in Louisiana seeks an Authorization Specialist to coordinate insurance verification, pre-authorizations and all required approvals prior to procedures. You will manage pre-authorizations, notifications and denials, ensuring smooth patient intake and authorization workflows.

The role requires the ability to multitask under pressure and uphold policy guidelines. The position focuses on inpatient/outpatient surgeries and in-office procedures, emphasizing accuracy, timeline

Responsibilities

• Obtain insurance verification, prior approvals and all authorization requirements before patient arrival for a procedure or surgery.
• Assist with denial management and related authorization activities.
• Demonstrate ability to multi-task and work under pressure while handling authorization workflows.

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.