Medical records Analyst I

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