GI Alliance · 17 hours ago
Pre-Certification Specialist I
New Braunfels, TX
Full-time
Onsite
Entry Level
2+ years expGI Alliance is seeking an experienced Pre-Certification Specialist I. This role is responsible for communicating with insurance companies to ensure proper certification and authorization is obtained prior to patient appointments and scheduled tests and procedures.
Health CareMedical
Responsibilities
Obtain all requests for precertification and prior authorization from insurance companies for appointments, scheduled tests and procedures
Contact insurance companies as needed to obtain precertification and record on form data entry
Communicates necessary patient financial information with appropriate office and billing personnel in an efficient, timely and accurate manner
Documents, within the practice management system, all required information to include financial responsibility
Verify waivers have been signed as needed for tests and procedures prior to date of service
Communicate with staff on any adjustments on precertification
Light data entry and other related office duties
Qualification
Required
High School diploma or GED
Minimum of two (2) years of pre-certification experience required
Proficient knowledge of medical terminology, ICD-10 and CPT-4 codes
Excellent communication skills, both written and verbal
Proficient technical (computer) skills
Ability to multi-task and prioritize
Self-motivated with initiative
Strong sense of ethics
Preferred
Entry level (1-4 years' experience) and/or meet the basic requirements of the job with the need for additional supervision
Excess of 4 years' experience if meeting only the basic requirements of the job with need for additional supervision
Company
GI Alliance
GI Alliance provides comprehensive gastrointestinal care services.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$25.27M2024-11-11Acquired
2021-03-18Private Equity· $25.27M
Leadership Team
Paul Berggreen
Chief Strategy Officer
Recent News
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