Preauthorization / Precertification Specialist I Job Listing at MedStar Medical Group in Baltimore, MD (Job ID req45416)

Description

General Summary of Position
Provides assistance to patients and providers by confirming and completing required pre-certification/authorizations prior to service to ensure a positive patient/provider experience and mitigate denials.

Primary Duties and Responsibilities

Minimum Qualifications
Education

• High School Diploma or GED required

Experience

• 1-2 years Experience in patient accounting, patient access, or pre-arrival services functions, or an equivalent combination of experience and college education in accounting, finance or healthcare administration required

Knowledge, Skills, and Abilities

• Working knowledge and demonstrated proficiency in payer authorization and clearance processes.
• Requires basic working knowledge of UB04, HCFA 1500 or equivalent and payer responses.
• Requires some knowledge of medical terminology and CPT/IDC-9 coding.
• Excellent communication, analytical, interpersonal, and organizational skills.
• Proficient uses of hospital registration and/or billing systems and personal computers as well as Microsoft Excel and Word applications.
• Ability to type 35 WPM.

This position has a hiring range of $18.33 - $31.61