Precertification Specialist
Genesis HealthCare
- Reviewed and processed precertification requests for medical services and procedures.
- Collaborated with healthcare providers to gather necessary documentation for approvals.
- Utilized electronic health record (EHR) systems to track and manage precertification workflows.
- Ensured compliance with insurance guidelines during precertification processes.
- Communicated effectively with patients regarding precertification requirements and status updates.
- Trained new staff on precertification protocols and best practices within the department.
- Developed comprehensive knowledge of various insurance plans, policies, and coverage limitations to provide accurate guidance to patients and providers.
- Ensured smooth communication between healthcare providers, patients, and insurance companies, resulting in timely approvals and positive experiences.
- Contributed extensively to departmental goals through consistent achievement of individual performance benchmarks related to precertification accuracy and timeliness.
- Maintained strict adherence to HIPAA regulations by safeguarding confidential patient information during all aspects of the precertification process.
- Processed and certified documents for accuracy and compliance with government regulations.
- Performed various administrative tasks by filing, copying and faxing documents.