Clinic Pre-cert Representative

Location: WK Medical Center Department: Clinic - Hematology/Oncology Associates Classification: Full-Time Shift: 8:00 AM-4:30 PM Date Posted: 5/10/2023 Description: Our clinic is searching for a qualified candidate to be a Pre-Certification Representative. They will be responsible for submitting requests to insurance companies to pre-authorize scans, tests, and procedures. Excellent communications skills are imperative as they will be speaking with insurance companies and patients to ensure we have all necessary information prior to procedures. They will also be responsible for communicating with the doctors and nurses if any issues arise or if there are any denials along the process as well as coordinating with the hospital's pre-certification department and the PET scan department to relay authorization info as needed. Computer skills are necessary for this job and it will require timely scanning in of all orders and information once a pre-authorization is completed. Nursing experience or prior experience in referrals is required.