Precertification Specialist

Company: WellStar Health System, Inc.
Location: Roswell
Posted on: January 26, 2023

Job Description:

Responsibilities

The Medical Imaging Pre-Authorization Specialist functions under the direction of the PreAuthorization Supervisor/ Manager and Diagnostic Outreach VP. Provides outstanding customer service to customers in a fast-paced busy environment. Drive volumes and increase revenue by obtaining Pre-Authorization for Outpatient Medical Imaging in a timely Manner. Observing Quality and Productivity standards and other Key Performance Indicators. Responsible for performing a wide variety of clerical procedures that requires independent judgment, ingenuity and initiative in the utilization of computers and other equipment. Knows the existing lines of communication and authority, handles communications properly and is dependable and cooperative. Works with staff and understands appropriate scheduling and authorization process, willing to learn procedures/patient preps. Assist Scheduling, patient and physician's office staff with authorization issues in a timely manner. Communicate any authorization issues with the patient and provider within 24 hours of the patients' appointment. Make all efforts to avoid Denials, assist with Denials, claim edits, and reconsiderations when needed. Support Revenue cycle. Must be flexible with work hours to meet department needs.

Qualifications

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Keywords: WellStar Health System, Inc., Roswell , Precertification Specialist, Other , Roswell, Georgia