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Precertification Specialist

Company: Semmes Murphey Clinic
Location: Memphis
Posted on: April 10, 2021

Job Description:

The Precertification Specialist will ensure the timely and efficient pre-cert of SMC procedures and assist in providing continuity of quality patient care. To perform the Precertification Specialist job successfully, an individual must be able to perform each essential responsibility satisfactorily. These requirements are representative, but not all-inclusive, of the knowledge, skill, and ability required of the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.RequirementsWe are searching for a candidate who:Develop and maintain effective relationships with insurance companies, physicians and medical office staffDetermine necessity for precertification and coordinate with insurance companies, patients and clinical staff to obtain informationObtain and complete all insurance pre-certifications and authorizations, as required, for various clinical proceduresWork collaboratively with block precertification and surgical precertification staff; contribute to both block and surgical authorizations as delegatedMaintain complete and accurate precertification documentation in patient chartsUpdate SMC surgery calendars dailyRegular and reliable attendance is required to successfully perform these essential functionsThis position requires a high school diploma or equivalent, and two (2) years of related experience in medical registration/admissions, precertification and/or medical insurance.Current medical assistant certification or state licensure as a Practical Nurse (or licensure from a state within the Nursing Compact) is preferred.The candidate must be proficient in Microsoft Office (Excel, Outlook, Word), Internet software, web-based insurance verification software, and practice management software. Organizational skills with attention to detail are required.

Keywords: Semmes Murphey Clinic, Memphis , Precertification Specialist, Other , Memphis, Tennessee

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