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 :

▪ 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