Precertification Specialist
Not Disclosed•Full-TimeOn-site
location_on949, Celia Lane, Gardenside, Lexington, Fayette County, Kentucky, 40504, United States
About the Role
The Precertification/Preauthorization Specialist plays a vital role in ensuring accurate medication coverage by collecting complete information and securing necessary pre-certifications from insurance companies. This position involves assisting in the development of departmental policies and procedures while resolving operational issues. Success in this role requires effective communication, strong customer relations skills, and the ability to work self-directed.
Physical Requirements
This position requires the ability to remain in a stationary position and negotiate steps for up to eight hours per day. Essential functions include lifting materials weighing up to 25 pounds, extending wrists and arms for extended periods, and performing telephone and computer work requiring full range of motion in hands and arms. The role also necessitates the ability to articulate speech and hear clearly.
Equal Opportunity
Lexington Clinic is an Equal Opportunity Employer (EOE).
Work location
Work model: On-site
949, Celia Lane, Gardenside, Lexington, Fayette County, Kentucky, 40504, United States
Lexington, Kentucky
Key Responsibilities
- check_circleCollect complete and accurate medication information
- check_circleAssist in the development of departmental policies and procedures
- check_circleMaintain effective communication and customer relations skills
- check_circleSecure pre-certifications and pre-authorizations from insurance companies
- check_circleResolve problems related to departmental activities
Requirements
- verifiedHigh school diploma or equivalent
- verifiedModerate computer skills
- verifiedBasic knowledge of insurance billing
- verifiedICD-9 coding
- verifiedCPT coding
Nice to Have
Formal training indicated by a high school diploma or equivalent; moderate computer skills; high level of organizational skills; basic knowledge of insurance billing including ICD-9 and CPT coding.
Similar Job Opportunities
Skills, education and keywords
Skills: Icd-9, CPT Coding, Insurance Billing.
Education: High school diploma or equivalent preferred.
Frequently asked questions about Precertification Specialist at Lexington Clinic
What does a Precertification Specialist at Lexington Clinic do?expand_more
In this Precertification Specialist at Lexington Clinic role, you will collect complete and accurate medication information; assist in the development of departmental policies and procedures; maintain effective communication and customer relations skills; and secure pre-certifications and pre-authorizations from insurance companies.
What are the requirements for this Precertification Specialist role?expand_more
Lexington Clinic is looking for candidates who meet the following requirements: High school diploma or equivalent; Moderate computer skills; Basic knowledge of insurance billing; ICD-9 coding; and CPT coding.
Where is the Precertification Specialist role at Lexington Clinic located?expand_more
Precertification Specialist at Lexington Clinic is based in 949, Celia Lane, Gardenside, Lexington, Fayette County, Kentucky, 40504, United States. This is a on-site role.
Is this Precertification Specialist job remote, hybrid, or on-site?expand_more
Lexington Clinic has listed this Precertification Specialist role as on-site.
How much experience is required for this Precertification Specialist role?expand_more
Candidates for Precertification Specialist at Lexington Clinic should have mid level.
What skills do you need for the Precertification Specialist role at Lexington Clinic?expand_more
Key skills for Precertification Specialist at Lexington Clinic include Icd-9; CPT Coding; and Insurance Billing.
What education is required for Precertification Specialist at Lexington Clinic?expand_more
Educational requirements for this role: High school diploma or equivalent preferred.
What category does the Precertification Specialist role belong to?expand_more
Precertification Specialist at Lexington Clinic is part of the admin job category on Recrutus.