Precertification Specialist II

The purpose of this position is to verify patient demographics and billing information. To obtain prior authorizations for all appoitments and orders by successfully completing the authorization process for all services including surgical, advance imaging, workers compensation and durable medical equipment. Need to demostrate, through actions, the ability to multi-task and work under pressure. The expertise of an Precertification Specialist shall include working knowledge inthe area of authorization related activites including pre-authorization submissions, notifications, medical policy guidelines and denials. This postition requires someone with at least 1 year work experience in the healthcare field as a medical assistant, LVN/LPN, or medical case manager.