Precertification Specialist (Cardiology)
Job description
Job Summary:
The Precertification Specialist is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers.
Required Education, Skills, and/or Abilities:
- SRNA, CMA, or Coding (CCA or CPC) certification required within 1 year of hire (must be actively enrolled in program); or equivalent years of clinical care experience.
- 2 years medical prior authorization experience preferred.
- Knowledge of procedure authorization and its direct impact on the practice’s revenue cycle
- Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively
- Basic understanding of human anatomy
- Proficient use of CPT and ICD-10 codes
- Excellent computer skills including Excel, Word, and internet use
- Detail oriented with above average organizational skills
- Plan and prioritizes to meet deadlines
- Excellent customer service skills; communicates clearly and effectively
Harrison Memorial Hospital is a regional medical facility located in the heart of Harrison County. Harrison Memorial Hospital is a private, not-for-profit facility licensed by the state of Kentucky and is recognized as a progressive entity in rural health. Harrison Memorial Hospital was named the first PurHosptialTM in the state of Kentucky and has been named one of the “Best Places to Work in Kentucky” for ten consecutive years. Our town may be small, but the healthcare we deliver is BIG!!
Employees will be expected to comply with HMH’s vaccination policies, which include but is not limited to, compliance with “HMH COVID-19 Vaccination Requirements for Healthcare Workers” unless reasonable accommodations are needed under applicable law.
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