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Precert Coordinators

KNOXVILLE, TN

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Description

Precert Coordinators

Must have medical experience 

Powell area, West Knoxville , Weisgarber area 

$13-$15 Depending on Experience 

 

Job Description:

• Review chart documentation to ensure patient meets medical policy guidelines 

• Prioritize incoming authorization requests according to urgency

• Obtain authorization via payer website or by phone and follow up regularly on pending cases

• Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations

• Initiate appeals for denied authorizations

• Respond to clinic questions regarding payer medical policy guidelines

• Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order

• Contact patients to discuss authorization status

• Other duties as assigned

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