Required Skills: Minimum 1-2 years experience in obtaining precertification authorization within the past year. Prior experience working within an EMR. Understanding of insurance coverage and participation. Computer software and hardware must meet the employer's minimum technical requirements.
Act as a technical resource for Underwriters. Provide value-added services to assist in overall policyholder risk reduction strategies. Applicants must meet the following qualifications: Flexibility for necessary travel and occasional overnight stays.
General computer skills (including use of Microsoft Office, Outlook, internet search), familiarity with health care documentation systems. Ability to prepare and present in depth written technical assessment of medical reimbursement issues relating to claims processing and clinical editing.