PreCertification Specialist (closed)
Passport Health Communications, Inc., a nationally recognized pioneer developing
innovative solutions for the healthcare industry and one of Healthcare
Informatics Top 100 Healthcare Companies, is seeking a Precertification
Under general direction, the Precertification Specialist is
responsible for the accurate representation of payor specific guidelines from
The PreCertification Specialist is responsible not only for
all credential and script maintenance and documentation but also any other
information extracted and utilized in the automated precertification process.
May review and make recommendations regarding product enhancements and
logic. Responsible for validation and release of content and any associated
logic into production for client use.
•Works collaboratively with the Director and all development and content/QA staff to ensure all precertification scripts for payor specific websites are accurate and complete.
•Maintains record/database of all production scripts as utilized per client
•Experience working with online insurance portals.
oThorough knowledge of the healthcare revenue cycle required oWorking knowledge of insurance benefit terminology and precertification guidelines
•Ability to multitask, prioritize, and maintain organization in a high volume environment
•Self-driven, results-oriented with a positive outlook, and a clear focus on high quality productiveness •Ability to maintain effective working relationships is essential
•Standard English grammar/usage and proper telephone etiquette
• Knowledge of Medical Terminology and procedural coding systems a plus