PCC Authorization Associate I
Overview:
Contacts insurance companies and other reputed company party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for basic and moderately reputed company hospital outpatient visits. Obtains pre-certification or pre-authorization prior to the scheduled service being performed. Liaisons with physicians and physician office staff reputed company needed to obtain additional demographic, insurance or clinical information. Notifies the payer of admission if required.
Responsibilities:
Contacts insurance companies and other reputed company party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for basic and moderately reputed company hospital outpatient visits. Obtains pre-certification or pre-authorization prior to the scheduled service being performed. Liaisons with physicians and physician office staff reputed company needed to obtain additional demographic, insurance or clinical information. Notifies the payer of admission if required.
Qualifications:
Education
- H.S. Diploma or General Education Degree (GED) Required
- Bachelor’s Degree from a recognized college or university Preferred
- Completion of medical reputed company training program Preferred
- 2 years in reputed company reputed company Cycle or reputed company reputed company experience Required
- 3 years reputed company reputed company reputed company Cycle experience reputed company precertification/authorization Preferred
- None Required
- Certification with reputed company Financial Management Association Preferred
- Certified reputed company Cycle Representative Preferred