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Title

Precertification Specialist 

About the Organization
eMDs offers exciting opportunities that will challenge your abilities, expand your skills and reward your contributions in an atmosphere that encourages both personal and professional growth for all.

Additionally, eMDs offers competitive compensation, excellent benefits, and a positive work environment designed around the philosophy of mutual respect and the challenge of contributing to the continued success of our organization.

Our History

eMDs was founded in 1996 by David Winn, MD, a board-certified family practice physician with a very strong business background who understood the value of having an integrated practice management system which helped physicians focus on patients while optimizing practice financials. Dr. Winn was dissatisfied with offerings on the market, and set out to create his own. The eMDs clinic was first implemented in 1998. Using our own practice management system meant we fully understood what it takes to create the perfect EHR system and why the company built our reputation upon being a highly usable system.

Many years later, we've retained the same values from our early days. We are dedicated to building the best integrated EHR and RCM systems and services. We focus on listening to our customers. And most importantly, we focus on making the practice of medicine enjoyable and fulfilling.

Our Leadership

Since our founding, we have been privileged to have been led by certified healthcare professionals and proven IT leaders.
 
Category Revenue Cycle Management  
Close Date  
Description

Summary of Job:

The role of a Precertification Specialist in the Revenue Cycle Management department is to obtain prior authorization for services with both commercial and government payors where applicable.

Essential Duties and Responsibilities:

  • Prioritize incoming authorization requests based on urgency and payor timelines
  • Obtain prior authorizations via websites and/or telephone and follow up regularly on pending cases
  • Maintain working files of payor requirement and forms
  • Respond to payor and client questions regarding status, requirements, clinical policies
  • Other pertinent duties as assigned
 
Position Requirements

Qualifications:

  • Working knowledge of healthcare code sets
  • Working knowledge of procedure authorizations and its direct impact on the revenue cycle
  • Understanding of payor medical policy guidelines and use of guidelines to manage authorizations effectively
  • Previous experience with electronic health records/practice management systems
  • Proficient in Microsoft Outlook, Word, Excel
  • Organized and detail-oriented
 
Full-Time/Part-Time Full-Time  
Shift Days  
CGM corporate job profile 3004  
Statement if backfill, budgeted or non budgeted budgeted  
SAP position number (by corporate SAP OrgMgt)  
Position Precertification Specialist  
Division IDE - eMDs  
Post Internal Days 0  
Created By Dawn Arnold  
Number of Openings 1  
Number Filled 0  
Exempt/Non-Exempt Non-Exempt  
Hiring Manager(s) Dawn Arnold, Ryann Philpot  
Req Number REV-22-00159  
Open Date 6/3/2022  
Location Austin (Stonelake)  
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.  

This position is currently accepting applications.

Apply Now



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