Precertification Analyst VA

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 :

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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