Precertification Specialist Assistant in Savannah, Georgia at St. Josephs Candler
Job Function: Manufacturing
St. Josephs Candler
Savannah, Georgia, 31401, United States
Posted on
Explore Related Opportunities
Job Description
-
Position Summary
- The PreCertification Specialist Assistance (PSA) is responsible for reviewing scheduled elective accounts to ensure that certification has been obtained. The PSA will maintain open communication and be available to component organizations and practitioner sites for consultation. The PSA will provide excellent internal and external customer service and maintain a working knowledge of industry standards to ensure timely, quality services in accordance with contractual agreements, federal regulations, hospital policies, procedures and professional standards.
-
Education
- High School Diploma - Preferred
-
Experience
- 2-3 Years Clerical - Required
- 1-2 Years Insurance Requirements - Preferred
-
License & Certification
- None Required
-
Core Job Functions
- Compile and distribute daily service report. Review account to determine if certification is required. Work with physician offices and other hospital departments to make sure required certification is obtained and documented.
- Determines if authorization is required. Accurately documents account information.
- Monitor various reports for precertification need. Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
- Review updated information from payers, Monitor web portal alerts from payer. Maintains updated files on specific payer requirements.
Scan to Apply
Just scan this QR code to apply from your phone.
Job Location
Savannah, Georgia, 31401, United States
Frequently asked questions about this position
Similar Jobs In Savannah, Georgia
HIM/Referral Specialist
St. Josephs Candler
Savannah, Georgia
Medical Billing Specialist
Atlanta Women's Healthcare Specialists
Atlanta, Georgia
New
Medical Coder - Outpatient
St. Josephs Candler
Savannah, Georgia
New
MEDICAL RECORDS CODER
Archbold Medical Center
THOMASVILLE, Georgia
New
Verification Specialist
Evoraa Holdings
Peachtree City, Georgia
Continue to apply
Enter your email to continue. You’ll be redirected to the employer’s application.By clicking Continue, you understand and agree to JobTarget's Terms of Use and Privacy Policy.