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Pre-Certification Coordinator II

Company: VirtualVocations
Location: Vista
Posted on: October 24, 2024

Job Description:

A company is looking for a Pre-Certification Coordinator II specializing in complex pre-certifications for high dollar oncology and non-oncology drugs.



Key Responsibilities

Complete pre-certifications for complex and high dollar drugs based on therapy and treatment plans
Verify insurance eligibility and authorization information for existing pre-certifications
Collaborate with clinical staff and providers to resolve add-ons, denials, and peer-to-peer reviews


Required Qualifications

High school diploma or equivalent certification
3 years of experience in Clinical Office, Medical Billing, Health Information Management, or Pre-Certification
Preferred associate degree
Preferred experience with coding and pre-certification
No specific certification required; CPC or RHIT preferred

Keywords: VirtualVocations, Mission Viejo , Pre-Certification Coordinator II, Other , Vista, California

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