Precertification Representative
Company: VirtualVocations
Location: Billings
Posted on: January 23, 2025
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Job Description:
A company is looking for a Precertification and Authorization
Representative-Remote.
Key Responsibilities
Resolve referral, precertification, and prior authorization for
various insurance payors
Conduct pre-appointment insurance reviews and manage denials
recovery functions
Adhere to quality assurance guidelines and productivity
standards
Required Qualifications, Training, and Education
High School Diploma or GED with 2+ years of relevant experience, or
a Bachelor's Degree
Basic computer/keyboarding skills and intermediate mathematical
competency
General knowledge of healthcare terminology and CPT-ICD10 codes
Preferred experience in insurance verification and claim
adjudication
Familiarity with Epic RC/EMR system is preferred
Keywords: VirtualVocations, Billings , Precertification Representative, Other , Billings, Montana
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