Preauthorization/Precertification Specialist - Oncology/Infusion Services Job Listing at MedStar Medical Group in Baltimore, MD (Job ID req40830)

Description

General Summary of Position

MedStar Health is actively recruiting for a Preauthorization / Precertification Specialist to join our Patient Financial Services team.  We are seeking a candidate with experience in managing the financial and authorization processes involved in oncology and infusion treatments.

Job Summary - 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 required 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/ICD-9/10 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