Responsible for collaborating with healthcare providers and members to optimize member benefits and to promote effective use of financial resources available
Job Summary
Responsible for collaborating with healthcare providers and members to optimize member benefits and to promote effective use of financial resources available.
Performs pre-certification and related duties to secure authorization for payment for treatment from insurance companies, drug companies, foundation resources and patients.
We are proud to offer a comprehensive benefit package and paid time off.
Matching Summary
Responsible for collaborating with healthcare providers and members to optimize member benefits and to promote effective use of financial resources available.
Skills & Requirements
Must-have
Optimize member benefits
Assess medical necessity
Conduct pre-certification reviews
Verify patient benefits and eligibility
Communicate patient financial responsibility
Handle insurance issues before treatment
Nice-to-have
Caring professionals
Whole-person approach
Genuine compassion
Go the extra mile
Key Requirements
High School Diploma required
At least one year of experience in medical insurance
Prior work experience with insurance precertification