Precertification Representative - San Jose California

Company: VirtualVocations
Location: San Jose, California
Posted On: 01/30/2025

A company is looking for a Precertification and Authorization Representative for a part-time, remote position.



Key Responsibilities

Resolve referral, precertification, and prior authorization for various insurance plans
Conduct pre-appointment insurance reviews and manage denials recovery functions
Adhere to quality assurance guidelines and productivity standards


Required Qualifications

High School Diploma or GED with 2+ years of relevant experience, or a Bachelor's Degree
General knowledge of healthcare terminology and CPT-ICD10 codes
Basic knowledge of insurance verification and claim adjudication preferred
Experience using an Epic RC/EMR system preferred
Ability to work in a complex environment with good decision-making skills More...

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