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Precertification Specialist-NewYork-Presbyterian Medical Group-Queens

Job ID 00759366 Location Queens Hospital
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Flushing, New York


Day (United States of America)


Precertification Specialist-NewYork-Presbyterian Medical Group-Queens

Rheumatology Practice

NewYork-Presbyterian Medical Groups (NYPMG) are part of the physician enterprise of NewYork-Presbyterian, one of the nation’s most comprehensive academic health care delivery systems affiliated with two world-renowned medical schools.  Through primary care and multispecialty medical practices, the physicians and other health care professionals of NYPMG, in collaboration with ColumbiaDoctors and Weill Cornell Physicians, provide families with high quality, patient-centered care close to home in the New York metropolitan area.

  • Responsible for Authorization/Verifications.  Verifies eligibility and obtains authorizations for all imaging, procedures, office visits,  for the site including all specialties, specifically rheumatology. 
  • Maintains patients chart notes with up to date and accurate data for insurance authorizations, denials, peer to peer requests.
  • Follow practice guidelines. 
  • Must have a working knowledge of medical terminology, insurance packages/plans and proficient with EMR. 
  • Develops and maintains a high level of customer service.   
  • Clearly communicate with providers, insurance companies, staff and patients.

Education Required:

High School or GED equivalent

Experience Required:

1+ year of job related experience.

Insurance verifications and precertification's

EHR-Electronic Health Records

Join a hospital where employee engagement is at an all-time high. Enjoy competitive compensation along with benefits such as tuition reimbursement, hospital retirement contributions, and financial planning assistance. Start your life-changing journey today.

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