PC Authorization Associate I

Title: PC Authorization Associate I, PRN

Location: Atlanta United States

Job Description:

RESPONSIBLE FOR:

Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for basic and moderately complex hospital outpatient visits. Obtains pre-certification or pre-authorization prior to the scheduled service being performed. Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information. Notifies the payer of admission if required.

REMOTE/WORK FROM HOME

MINIMUM EDUCATION REQUIRED:

High school diploma or GED

MINIMUM EXPERIENCE REQUIRED:

Two (2) yrs exp in Healthcare Revenue Cycle or related healthcare experience

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:

None

ADDITIONAL QUALIFICATIONS:

Three (3) years of previous related healthcare Revenue Cycle experience within precertification/authorization experience preferred. A Bachelor's degree from a recognized college or university preferred. Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative preferred. Prior Epic experience preferred. Completion of medical coder training program is preferred.