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Healthcare Pre-Certification Expert

1 week ago

Cebu City, Central Visayas, Philippines Tahche Careers Full time

Tahche Careers is committed to delivering exceptional patient care, and we're seeking a highly skilled Healthcare Pre-Certification Expert to join our team. In this role, you will be responsible for ensuring that all patients receive the necessary pre-certifications and authorizations for their medical procedures and treatments.

Key Responsibilities:
  1. Evaluate patient charts and medical histories to determine pre-certification requirements.
  2. Obtain necessary documentation from patients, providers, and insurance companies.
  3. Review and verify patient information, ensuring accuracy and completeness.
  4. Communicate with patients, providers, and insurance companies to resolve any issues or discrepancies.
Requirements:
  1. Bachelor's degree in Healthcare Administration or related field, with at least 2 years of experience in pre-certification.
  2. Strong knowledge of CPT codes, DX codes, and different insurance portals and websites.
  3. Excellent communication and interpersonal skills, with ability to work effectively with diverse stakeholders.