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This role is responsible for obtaining surgical pre-authorizations and pre-determinations for various procedures including injections and high-end radiology. The incumbent will manage authorization requests with insurance payors for assigned surgery providers.
This position is responsible for obtaining Surgical Pre-Authorizations and/or Surgical Pre-Determinations for surgical procedures including injections and high end radiology for surgery providers in assigned locations.
Required:
High School Diploma or GED
Work Experience and Additional Information
Three (3) to five (5) years medical office experience to include prior authorization and experience with pre-determination for surgical or high-end procedures. Above average knowledge of medical terminology and familiarity with CPT and ICD-10 coding. Experience with insurance payors and submitting authorization requests.
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