Precertification Associate - Pain Management

About the role

The Precertification Associate is a fundamental part of the patient experience and is a key contributor to the financial health of the organization. The role coordinates all aspects of the authorization process for assigned services provided within the UVMMC Health network to ensure patients are able to be scheduled timely and their financial health is secured.

Responsibilities

• Coordinates and researches with respective clinics to ensure all necessary clinical information is available and ready for submission to payers.
• Works with supporting departments throughout the network to ensure referrals and authorizations are in place prior to the service date.
• Maintains excellent customer service with all departments within the patient experience.
• Works with providers and clinic supervisors to reschedule or escalate or cancel services where medical necessity and authorization cannot be obtained.

Requirements

• Associate degree in a health care field or equivalent experience.
• Coding and medical terminology is encouraged.
• Two years of experience in the insurance industry, medical practice billing and/or coding position, scheduling clinic appointments, utilization review.

Qualifications

• Strong communication skills.
• Ability to work independently and manage multiple tasks simultaneously.
• Knowledge of healthcare regulations and payer policies.

Skills

• Excellent organizational and time management skills.
• Proficient in Microsoft Office Suite.
• Ability to navigate and understand healthcare billing systems.

Benefits

• Comprehensive health insurance coverage.
• Flexible work schedule.
• Professional development opportunities.
• Employee assistance program.

Pay

Competitive salary commensurate with experience.

Schedule

Full-time position with flexible hours to accommodate patient needs.