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- Tasks: Obtain prior authorisations for procedural orders and manage payer communications.
- Company: Join St. Vincent’s Hospital, a trusted healthcare provider dedicated to patient care.
- Benefits: Enjoy paid time off, holiday PTO, a 401(k) plan, and profit sharing.
- Why this job: Make a real impact in healthcare while working in a supportive team environment.
- Qualifications: Requires a high school diploma and two years of experience in a medical field.
- Other info: This is a full-time, in-person role with a Monday to Friday schedule.
The predicted salary is between 30000 - 42000 £ per year.
The Precertification Specialist will be responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial payers. Two years of experience in a medical related field required, along with a high school diploma or GED. Two years medical prior authorization experience preferred. The Precertification Specialist will have the following responsibilities: Review chart documentation to ensure patient meets medical policy guidelines Prioritize incoming authorization requests according to urgency Obtain authorization via payer website or by phone and follow up regularly on pending cases Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations Respond to clinic questions regarding payer medical policy guidelines Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order Contact patients to discuss authorization status Other duties as assigned This a full-time, in-person position with a Monday to Friday schedule. Our Full-Time Employee Benefits Include: Paid time off (PTO) Holiday PTO 401(k) plan Profit sharing plan Apply Here Name * Email * Phone * Resume * Please prove you are human by selecting the Icon #J-18808-Ljbffr
Precertification Specialist St. Vincent’s Hospital employer: Entalabama
Contact Detail:
Entalabama Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Precertification Specialist St. Vincent’s Hospital
✨Tip Number 1
Familiarise yourself with the specific medical policies of the commercial payers you'll be dealing with. Understanding their requirements and processes can give you a significant edge during the interview.
✨Tip Number 2
Network with current or former Precertification Specialists to gain insights into the role and the challenges they face. This can help you prepare for questions and demonstrate your proactive approach.
✨Tip Number 3
Brush up on your knowledge of CPT and ICD-10 codes, as accuracy in these areas is crucial for the role. Being able to discuss your familiarity with these codes can set you apart from other candidates.
✨Tip Number 4
Prepare examples from your past experience that showcase your ability to handle urgent requests and follow up effectively. Highlighting your organisational skills will resonate well with the responsibilities of the position.
We think you need these skills to ace Precertification Specialist St. Vincent’s Hospital
Some tips for your application 🫡
Tailor Your CV: Make sure your CV highlights relevant experience in the medical field, especially any prior authorization roles. Use keywords from the job description to demonstrate that you meet the requirements.
Craft a Strong Cover Letter: Write a cover letter that specifically addresses the responsibilities of the Precertification Specialist role. Mention your experience with obtaining prior authorizations and how you can contribute to the team at St. Vincent’s Hospital.
Highlight Relevant Skills: In your application, emphasise skills such as attention to detail, communication, and familiarity with CPT and ICD-10 codes. These are crucial for the role and should be clearly stated.
Proofread Your Application: Before submitting, carefully proofread your application materials. Check for any spelling or grammatical errors, and ensure that all information is accurate and up-to-date.
How to prepare for a job interview at Entalabama
✨Know Your Medical Terminology
Familiarise yourself with key medical terms, especially those related to CPT and ICD-10 codes. This will help you demonstrate your understanding of the role and show that you're prepared for the responsibilities.
✨Understand the Prior Authorization Process
Be ready to discuss the steps involved in obtaining prior authorisations. Highlight any relevant experience you have and be prepared to explain how you prioritise requests based on urgency.
✨Prepare Questions for the Interviewers
Think of insightful questions to ask about the team dynamics, the tools they use for tracking authorisations, and how they handle challenging cases. This shows your interest in the role and helps you assess if it's the right fit for you.
✨Showcase Your Communication Skills
As a Precertification Specialist, you'll need to communicate effectively with clinics and patients. Be prepared to provide examples of how you've successfully handled inquiries or resolved issues in previous roles.
