Medical Necessity Coordinator
2 days ago
Job Summary
We are seeking an experienced Pre-Approval Specialist to join our team at lxbfYeaa.
The successful candidate will have 1-2 years of experience in pre-approval authorization services at a clinic or hospital facility, along with proficiency in ICD 10 AM/CM and basic knowledge of medical terminologies.
As a key member of our team, you will be responsible for reviewing and processing pre-authorization requests, collaborating with supervisors or nurse managers to verify medical necessity, and ensuring accurate and complete information for claims.
Responsibilities
- Reviews and processes pre-authorization requests.
- Collaborates with supervisors or nurse managers to verify medical necessity.
- Monitors and secures pre-approvals according to payer protocols.
- Ensures accurate and complete information for claims.
- Maintains proficiency in ICD 10 AM/CM and basic knowledge of medical terminologies.
Requirements
- 1-2 years of experience in pre-approval authorization services.
- Proficiency in ICD 10 AM/CM and basic knowledge of medical terminologies.
- Effective communication skills.
- Able to work flexible shifts.
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