Precertification Representative

Company: VirtualVocations
Location: Ogden
Posted on: January 21, 2025

Job Description:

A company is looking for a Precertification and Authorization Representative-Remote.

Key Responsibilities

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

Required Qualifications, Training, and Education

High School Diploma or GED with 2+ years of relevant experience, or a Bachelor's Degree
Basic computer/keyboarding skills and intermediate mathematical competency
General knowledge of healthcare terminology and CPT-ICD10 codes
Preferred experience in insurance verification and claim adjudication
Familiarity with Epic RC/EMR system is preferred

Keywords: VirtualVocations, West Jordan , Precertification Representative, Other , Ogden, Utah

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