Precertification Specialist

Job Details: Job Location: CIG WEST COLUMBIA - WEST COLUMBIA, SC, Position Type: Full Time, Salary Range: Undisclosed, Job Shift: Day, Job Category: General Business, JOB DESCRIPTION JOB TITLE: PRECERTIFICATION SPECIALIST IMMEDIATE SUPERVISOR: DIRECTOR OF OPERATIONS MINIMUM QUALIFICATIONS: Cooperative work attitude toward co-employees, management, patients, visitors, and physicians Ability to make logical decisions and solve problems Knowledge of CPT and ICD-10 coding applications GI knowledge a plus! REQUIREMENTS: High school diploma or GED certificate Good communication skills Good computer skills Strong ethical and moral character references Pass background, drug, security check DUTIES AND RESPONSIBILITIES 1. Communication Communicates effectively and professionally with patients, visitors, physicians, and co-workers Interacts with others in a positive, respectful, and considerate manner Conducts self as a positive role model and team member Respects patients’ rights to privacy, dignity and confidentiality 2. Duties Works daily schedule to ensure all procedures and any scheduled tests are preauthorized with insurance company Documents all communication in computer Receive calls related to patient authorization or precertification from patients or insurance companies Work with area medical centers to ensure appropriate authorizations are done Forwards all complex problems or questions to business office team lead 3. Job Quality Requirements Accuracy Attention to detail Timeliness Organization Little supervision needed to accomplish task 4. Dependability Attendance Punctuality Ability to follow instructions Ability to meet deadlines 5. Physical / mental Requirements Ability to sit, stand, and walk Visual and auditory acuity for frequent use of computer, telephone, and occasional use of other office equipment 6. Regulatory Abide by OSHA and HIPAA regulations Qualifications: MINIMUM QUALIFICATIONS: Cooperative work attitude toward co-employees, management, patients, visitors, and physicians Ability to make logical decisions and solve problems Knowledge of CPT and ICD-10 coding applications GI knowledge a plus! REQUIREMENTS: High school diploma or GED certificate Good communication skills Good computer skills Strong ethical and moral character references Pass background, drug, security check