Job Details

Description

:The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations. Interprets patient medical records and reviews cases with the insurance nurse reviewer. Accurately enters information into multiple computer programs and insurance websites.

Education:
▪ Required: High School Diploma or Equivalent
▪ Preferred: Medical Assistant Degree
Experience:
▪ Required: 1 Year VA/TriWest Related Experience
▪ Preferred: 6 months experience with medical terminology
Skills:
▪ Strong analytical/problem solving skills.
▪ Ability to communicate effectively with different levels of management, nursing, physicians, and insurance nurse reviewers.
▪ Excellent time management, Communication skills, organization, prioritizing, decision-making, and planning skills.
▪ Flexibility and ability to work in a multi-tasking environment.
▪ Ability to understand and interpret insurance benefits
▪ Ability to understand multiple computer programs and multiple insurance websites.
Licensure/Certification/Registration:
▪ N/A