Description
MedStar Health is actively recruiting for a Preauthorization / Precertification Specialist to join our Patient Financial Services team at MedStar Franklin Square Medical Center. 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.
Education
- High School Diploma or GED required
- 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
- 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.
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