POSITION SUMMARY:
Responsibilities include contacting insurance plans and/or authorizing agencies to obtain prior approval for scheduled surgical/ancillary events. This individual will be responsible for understanding all payer requirements and supporting the pre-certification/authorization process for all outpatient, surgical and ancillary procedures with the insurance carriers.
EDUCATION AND EXPERIENCE:
Minimum of three years' experience in a health care setting. Current knowledge of CPT/ICD-10-CM coding preferred. Previous experience with pre-certification/approval processes and knowledge on managed care and other health insurance polices helpful. Must possess the ability to communicate and deal effectively with patients, physicians, visitors, and peers in the course of performing job responsibilities.
EEO Statement Massachusetts Eye and Ear is proud to be an equal-opportunity employer and is committed to providing a workplace free from harassment or discrimination. All employment decisions are made without regard to race, color, age, gender, gender identification, sexual orientation, religion, marital status, sex, pregnancy or conditions related to pregnancy, national origin/ancestry, citizenship, disability, military status, genetic information, or any other basis prohibited by law. These protections extend to all management practices and decisions, including recruitment and hiring practices, appraisal systems, promotions, training, and career development programs.