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Pre-Certification Clerk

Advantage Resourcing Dothan, AL
  • Expired: 24 days ago. Applications are no longer accepted.
  • Contacts Medicare, BlueCross BlueShield and other payers daily.
  • Verifies the ODC order with electronic and paper pre-certification data by matching reports.
  • Contacts insurance carriers to downgrade or upgrade pre-certs. Reviews claim denials.
  • Verifies the completeness and accuracy of coding.
  • Use resources such as the CPT and ICD-9 provider manuals, Medicare's Correct Coding Initiative, subscriptions, and publications to support correct coding.
  • Reviews previous imaging reports and creatinine lab reports
  • Follows up on unpaid carrier claims according to the balance and age of the charges.
  • Contacts insurance carriers to verify the status of claims and resolve processing problems.
  • Appeals claim denials as justified. Identifies problem payers
  • Documents all insurance follow-up activity.
  • Maintains strictest confidentiality.
  • Looks for trends of denials and reasons for those denials to minimize lost revenue.
  • Maintains and updates list of insurance carriers and companies.
  • Monitors changes in the insurance industry and notifies office staff of those and polices
  • Performs related work as required.
  • 100% Employee Healthcare Benefits Paid!
  • Monday-Friday, 8:00 - 5:00

Advantage Resourcing

Why Work Here?

Advantage Resourcing is a group of Hire Thinking®, industry pioneers providing innovative workforce solutions.

At Advantage Resourcing, our primary objective is to perfectly align the best people with the appropriate jobs. These jobs may be temporary assignments or career positions. We place talented people in a wide variety of jobs working with our client companies in areas such as: engineering, IT, technical, manufacturing, skilled trades, distribution, call centers, clerical, accounting, finance and sales. Our strength is being able to solve our client's workforce needs by matching people that have the right skills, knowledge and motivation to each opportunity. Advantage Resourcing can help you discover the personal and career success you desire. Advantage Resourcing Americas, Inc. is an Equal Opportunity Employer offering employment without regard for race, color, religious creed, national origin, ancestry, gender, marital status, age, sexual orientation, sex, gender identity, disability, veteran status, or other legally protected categories. Advantage Resourcing is a VEVRAA Federal Contractor.


Dothan, AL