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Precertification Specialist - Longstreet Clinic - OBGYN

Northeast Georgia Health System · US

Job Category: Administrative & Clerical Work Shift/Schedule: 8 Hr Evening - Morning Northeast Georgia Health System is rooted in a foundation of improving th...

Job description

Job Category: Administrative & Clerical Work Shift/Schedule: 8 Hr Evening - Morning Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary Responsible for obtaining pre-certification/referrals from all insurance plans for services provided to NGHC patients as it relates to reimbursement. Verify insurance benefits and eligibility. Identify managed care contracts and referral patterns. Minimum Job Qualifications: Licensure or other certifications: Educational Requirements: High School Diploma or GED. Other: Preferred Job Qualifications Preferred Licensure or other certifications: Medical Office Assistant certificate. Preferred Educational Requirements: Preferred Experience: Minimum of one (1) year in medical office or hospital setting with experience in pre-certification or referral. Other: Job Specific and Unique Knowledge, Skills and Abilities Demonstrates tact to deal effectively with patients, physicians and other employees of the practice Excellent verbal communication skills: Initiative and drive to take a project from its inception to a successful conclusion Ability to maintain strict confidentiality re...