Vacancy Description
Summary
Primary duty is to obtain pre-certification and prior authorization as needed for procedures ordered by PPG Cardiology Physicians. Communicates with insurance companies, physician offices, patients, and nursing staff in order to obtain all information needed for the approval of the authorization for the ordered/scheduled procedure or test. Must be able to identify the testing and insurance companies that require prior authorization. Secondary duty is to complete and mail/fax all short term/long term disability forms, FMLA, CDL recertification and many other forms for the entire practice.
Education
Must be a high school graduate or equivalent/GED. Medical Terminology required.
Licensure/Certification
N/A
Experience
Must have at least 3 years experience with physician insurance/billing department. Minimum of 3 years experience in a health care setting.
Primary duty is to obtain pre-certification and prior authorization as needed for procedures ordered by PPG Cardiology Physicians. Communicates with insurance companies, physician offices, patients, and nursing staff in order to obtain all information needed for the approval of the authorization for the ordered/scheduled procedure or test. Must be able to identify the testing and insurance companies that require prior authorization. Secondary duty is to complete and mail/fax all short term/long term disability forms, FMLA, CDL recertification and many other forms for the entire practice.
Education
Must be a high school graduate or equivalent/GED. Medical Terminology required.
Licensure/Certification
N/A
Experience
Must have at least 3 years experience with physician insurance/billing department. Minimum of 3 years experience in a health care setting.
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