The Pre-cert/ Manage Care Specialist -is responsible for verifying insurance coverage and Pre-cert/Pre-Authorization of all Inpatient and Outpatient registrations.
The Pre-cert – Managed Care Specialist reports directly to the Director of Financial Services.
Verifies insurance coverage and obtains pre-certification and authorization on inpatient, outpatient and recurring accounts
Reviews each departs schedule and notates if authorization is required, list authorization number and if any additional information is needed before the test is preformed is notated on the schedule
Work list – this is a list of all accounts registered for service to verify insurance coverage and if authorization is required
All other duties as assigned