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PC Authorization Associate I

Piedmont Healthcare

Remote · USFull-timePosted 1 day agoStill listed today

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At a glance

Compensation
No compensation found
Location
Remote · US
Schedule
Full-time
Work Authorization
Not specified

Olive lists jobs from US employers, including remote roles you can work from the United States.

Job overview

The PC Authorization Associate I contacts insurance companies and third-party payers to determine pre-certification, pre-authorization, and medical necessity requirements for hospital outpatient visits. The associate obtains authorization before scheduled services, works with physicians and office staff to gather additional information when needed, and notifies payers of admissions when required.

Skills & qualifications

RequiredNice to have

Skills

PrecertificationAuthorizationMedical Necessity ReviewPayer CommunicationInformation Gathering

Qualifications

High School Diploma or GEDBachelor's DegreeMedical Coder Training2 Years Healthcare Experience3 Years Revenue Cycle ExperienceHFMA CertificationCertified Revenue Cycle Representative

Full job description

Overview

Experience the advantages of real career change

Join Piedmont to move your career in the right direction. Stay for the diverse teams you’ll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You’ll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future.

Responsibilities

Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for basic and moderately complex hospital outpatient visits. Obtains pre-certification or pre-authorization prior to the scheduled service being performed. Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information. Notifies the payer of admission if required.

Shift:

Monday through Friday 11:00am-7:30pm

2 Saturdays per month required

Qualifications

Education

  • H.S. Diploma or General Education Degree (GED) Required

  • Bachelor’s Degree from a recognized college or university Preferred

  • Completion of medical coder training program Preferred

Work Experience

  • 2 years in Healthcare Revenue Cycle or related healthcare experience Required

  • 3 years related healthcare Revenue Cycle experience within precertification/authorization Preferred

Licenses and Certifications

  • None Required

  • Certification with Healthcare Financial Management Association Preferred

  • Certified Revenue Cycle Representative Preferred

Business Unit : Company Name Piedmont Healthcare Corporate

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