RN Precertification/Preauthorization Supervisor

Employer
Allied Physicians, Inc
Location
Fort Wayne, IN, US
Salary
Competitve
Posted
Sep 13, 2017
Closes
Oct 14, 2017
Ref
7474f746
Specialty
Managerial
Contract Type
Permanent
Job Description

We are looking for an experienced RN/LPN to be responsible for supervising the precertification/financial counseling department for a busy specialty physician practice.

  • This department expedites the processing of claims by authorizing services, medication, and durable medical equipment per proper plan and API procedures.
  • This position supervises and leads Precert Specialists and the Financial Counselor while backing up each position by staffing, mentoring, training, and performing aspects of precert/financial counseling.
  • This position will work with their staff and clinicians to ensure precertifications for DME, medications, and procedures are completed timely and with the best medical knowledge available and will ensure necessary appeals are performed for denied services.

This position should have prior experience as follows:

  • completing precertifications
  • prior medical office leadership experience
  • knowledge of insurance plans, Medicare, Medicaid and various pharmaceuticals is a must.
  • excellent verbal and written skills.
  • Webchart EMR experience is a plus.

Require current LPN or RN state licensure. We offer great benefits and wages.

Company Description

Allied Physicians, Inc. is an independent Physician Owned Specialty Medical Practice.

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