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Rhode Island Staffing

Pre-Certification Specialist

Rhode Island Staffing, Providence, Rhode Island, us, 02912

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Cancer Center Insurance Specialist

Summary: Responsible for obtaining all required authorizations prior to treatments being performed in the Cancer Center/Infusion Suites, including verification of patient insurance coverage, benefit levels, and out of pocket responsibilities. Responsible for obtaining, entering, and tracking all authorizations and pre-certs as required by the individual insurance company. The specialist will be familiar with and understand Medicare, Medicaid, other government payers, Commercial, and HMO/PPO Payers guidelines and principals. Education

High school graduate or GED required. Associate's level degree preferred. Experience

Prior experience working in a related role in a medical office or other health care related organization. 2-3 years of prior insurance verification and preauthorization work or related experience in a health care environment.