precertification specialist.

• knoxville , tennessee

• posted may 20, 2024

job details

summary

• $16 - $18 per hour

• temp to perm

• high school

• category healthcare support occupations

• referenceAB_4538545

job details

Do you have excellent computer skills, above average organizational skills, and are detail-oriented? Do you have previous experience with the precertification and prior authorization process? If so, then we have the position for you! If you are interested in being considered for this role, please to this post and send your resume to brianna.harstick@randstadusa.com

salary: $16 - $18 per hour

shift: First

work hours: 8 AM - 5 PM

education: High School

Responsibilities

• Review chart documentation to ensure patient meets medical policy guidelines

• Prioritize incoming authorization requests according to urgency

• Obtain authorization via payer website or by phone and follow up regularly on pending cases

• Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations

• Initiate appeals for denied authorizations

• Respond to clinic questions regarding payer medical policy guidelines

• Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order

• Contact patients to discuss authorization status

• Other duties as assigned

Skills

• Medical Software

• prior authorization

• precertification

• insurance verification

Qualifications

• Years of experience: 1 year

• Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

Applications accepted on ongoing basis until filled.

get in touch

we are here to help you with your questions.

BH

brianna harstick

• +1 865 539 7940 (tel:+1 865 539 7940)

• brianna.harstick@randstadusa.com