Patient Connection Authorization Associate II

Piedmont Healthcare Atlanta , GA 30301

Posted 2 months ago

RESPONSIBLE FOR:

Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for complex outpatient hospital services, and specialized procedures (i.e. Recurring Visits, Surgeries, IR). Obtains pre-certification or pre-authorization prior to the scheduled complex service being performed.

Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information. Notify payers of admittance if required.

MINIMUM EDUCATION REQUIRED:

High school diploma or GED

MINIMUM EXPERIENCE REQUIRED:

Three (3) yrs exp in Rev Cycle or related exp in healthcare, with one of those years working specifically within Healthcare Revenue Cycle.

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:

None

ADDITIONAL QUALIFICATIONS:

Four (4) years of previous related healthcare Revenue Cycle experience preferred. A Bachelor's degree from a recognized college or university preferred.

Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative preferred. Prior Epic experience preferred.

Clinical experience (i.e. medical assistant, surgical tech) or completion of medical coder training program preferred.



See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Patient Connection Authorization Associate I (Remote)

Piedmont Healthcare

Posted 1 week ago

VIEW JOBS 10/31/2018 12:00:00 AM 2019-01-29T00:00 RESPONSIBLE FOR: 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. MINIMUM EDUCATION REQUIRED: High school diploma or GED MINIMUM EXPERIENCE REQUIRED: Two (2) yrs exp in Healthcare Revenue Cycle or related healthcare experience MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: None ADDITIONAL QUALIFICATIONS: Three (3) years of previous related healthcare Revenue Cycle experience within precertification/authorization experience preferred. A Bachelor's degree from a recognized college or university preferred. Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative preferred. Prior Epic experience preferred. Completion of medical coder training program is preferred. Piedmont Healthcare Atlanta GA

Patient Connection Authorization Associate II

Piedmont Healthcare