Precert/Ins Verification Team Member | Full-Time, Day Shift jobs in United States
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Phelps Health · 12 hours ago

Precert/Ins Verification Team Member | Full-Time, Day Shift

positionRolla, MO
timeFull-time
remoteOnsite
seniorityEntry Level
date1+ years exp

Phelps Health is a hospital and healthcare system serving small-town Missouri, committed to providing life-saving care. They are seeking an Insurance Verification/Prior Authorization Team Member responsible for verifying patient eligibility, determining benefits, and obtaining insurance prior authorization prior to patient’s exam date and time.

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H1B Sponsor Likelynote

Responsibilities

Obtains or assists in obtaining prior authorization/precertification from insurance payers for surgical, laboratory, and diagnostic imaging procedures scheduled to be performed
Processes multiple patient prior authorization/precertification requests at any given time in an efficient and accurate manner. Documents prior authorization/precertification decisions following clinical policy in clinical software
Makes and receives calls on the status of authorizations and verifies benefits over the phone and/or via insurance payer websites
Confirms member Plan eligibility and benefits prior to processing a request for pre-certification. Utilizes clinical knowledge, clinical resources or clinical policy as required

Qualification

Insurance verificationPrior authorizationMedical terminologyCPT & ICD-9/10 codesClinical experienceCommunication skillsDetail-oriented

Required

High school diploma or equivalent
Minimum 1 year of clinical experience in a health care organization
Valid MO or Compact State LPN license or an accredited Registered Medical Assistant if programs were completed

Preferred

Graduate of a Registered Medical Assistant or Licensed Practice Nurse program
Experience in insurance verification and prior authorization process
Knowledge of Medical terminology and CPT & ICD-9/10 codes

Company

Phelps Health

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Phelps Health is a medical clinic and hospital that provides cardiovascular, hormone replacement, and healthcare services.
dateFounded in 1951
location
Rolla, Missouri, USA
people-size1001-5000 employees
web-link
https://phelpshealth.org/

H1B Sponsorship

Phelps Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2022 (5)
2021 (5)
2020 (6)

Funding

Current Stage
Late Stage

Leadership Team

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Jason S.
Chief Executive Officer
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Recent News

phelpscountyfocus.com
Meet Phelps Health's new lifelike patient training simulator
2024-04-27
PR Newswire
Phelps Health Collaborates with KeyCare to Offer 24x7 Virtual Care via Epic-based Platform
2023-12-14
Company data provided by crunchbase