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Posted: Wednesday, June 7, 2017 10:39 AM

Precertification Clerk
Little Rock, Ar

To review requests for precertification of services, obtain further information if needed, approve requests, and send potential denials to supervisor for further action.

1. High school diploma or equivalency certificate 2. 1 year experience in an office setting, with customer service and keyboard PC skills, and insurance. 3. Hospital or clinic experience, or training in medical terminology preferred. 4. Tact required for dealing with patients and families.

1. Reviews requests for services that require precertification. 2. Contacts patients or physicians as appropriate to obtain information omitted from applications. 3. Reviews particular plan provisions to make sure patient is entitled to requested services. 4. Approves requests that fulfill plan guidelines. Notifies providers and patients of approval as appropriate. 5. Forwards potential denials to supervisor for further review and decision by supervisor or medical team. 6. Answers telephone requests from patients and providers’ offices about pending applications. 7. Any other duties required

8:00am - 5:00pm

$12-14 per hour depending on experience

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• Location: Little Rock, Little Rock, Ar

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