Pre-Cert Specialist

Description

Nebraska Cancer Specialists (NCS) is committed to providing state of the art care to our patients with oncologic and hematologic disorders in a compassionate and caring manner, and to advance cancer treatment through research and education. We continuously strive to be the most knowledgeable, progressive, trusted and compassionate cancer practice in the region.

This position is responsible for obtaining pre-authorization from insurance payors for medications/treatments, radiology testing, laboratory procedures, and pathology testing prior to being rendered. The incumbent will ensure authorization information is accurately relayed to the appropriate personnel in a timely manner. There is a $500 sign on bonus!

• Takes care of any patient needs promptly and willingly.
• Obtains insurance authorization and pre-certification for services or treatment
• Contacts care team with complete and accurate denial and appeals process information
• Coordinates Peer-to-Peer reviews with providers for denied requests
• Accurately notates the account with actions taken for pre-certification
• Works collaboratively with the patient advocate team and financial counselors to obtain medications for patients through assistance funds and foundations.

• Monday through Friday, daytime hours
• Paid time off, with holidays and your birthday off paid by the practice
• Excellent benefits including AFFORDABLE healthcare
• CEU/Conference allowance
• Ability to earn bonus
• Other great perks

Education and Experience:

• High School diploma or GED required
• At least 2 years’ experience in a medical billing office is required; oncology is preferred
• Must have working knowledge of third party billing requirements to ensure appropriate authorizations are completed.
• Must have knowledge of guideline resources used to guide treatment and procedure approvals (National Comprehensive Cancer Network (NCCN) Local Coverage Determination (LCD).
• Must have general working knowledge of insurance plans, CPT, HCPCS, ICD-10, medical terminology, and HIPAA
• Proficient with Microsoft office

We are an equal opportunity employer and participate in E-Verify.

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