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Pre-Certification Coordinator
Pre-Certification CoordinatorVirtualVocations • Buffalo, New York, United States
Pre-Certification Coordinator

Pre-Certification Coordinator

VirtualVocations • Buffalo, New York, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

A company is looking for a Pre-Certification Coordinator II (Remote).

Key Responsibilities

Completes pre-certifications for complex and high dollar drugs based on therapy and treatment plans

Verifies insurance eligibility and authorization information for existing pre-certifications

Collaborates with clinical staff and providers to resolve add-ons, denials, and peer-to-peer reviews

Required Qualifications

High school diploma or equivalent certification

3 years of experience in Clinical Office, Medical Billing, Health Information Management, or Pre-Certification

No specific certification or professional license required

Associate degree preferred

Certified Professional Coder (CPC) or Registered Health Information Technician (RHIT) is a plus

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