Precertification Representative

Company: VirtualVocations
Location: Chicago
Posted on: January 29, 2025

Job Description:

A company is looking for a Precertification and Authorization Representative for a part-time, remote position.

Key Responsibilities

Resolve referral, precertification, and prior authorization for various insurance plans
Conduct pre-appointment insurance reviews and manage denials recovery functions
Adhere to quality assurance guidelines and productivity standards

Required Qualifications

High School Diploma or GED with 2+ years of relevant experience, or a Bachelor's Degree
General knowledge of healthcare terminology and CPT-ICD10 codes
Basic knowledge of insurance verification and claim adjudication preferred
Experience using an Epic RC/EMR system preferred
Ability to work in a complex environment with good decision-making skills

Keywords: VirtualVocations, Hoffman Estates , Precertification Representative, Other , Chicago, Illinois

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