Pre-Certification Rep

Cheltenham, PA
CVS Health
$200k
Contract
2 weeks
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Job Description

Job Summary

This position is responsible for confirming and satisfying all billing requirements by obtaining the appropriate pre-certification/authorization from all necessary payers to avoid payment penalties. Responsible to confirm the financial/insurance information obtained during the registration process to determine that State, Federal and Third Party precertification/billing requirements are met to ensure optimal reimbursement for services to be rendered.

Requirements 

Education High School Diploma or Equivalent (Required) 

Experience 1 Year experience as an Insurance Specialist or equivalent hospital pre-certification/utilization role (Required) 

*We are looking for candidates with experience in obtaining authorizations for chemotherapy and outpatient surgical procedures. In particular, experience with gastro, urology, and orthopedics. (Required)