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Pre-Certification LPN

Healthgram Fort Mill, SC
  • Expired: over a month ago. Applications are no longer accepted.

We are looking for a Medical Precertification LPN to add to our growing team. We’re on a mission to improve health outcomes and reduce the cost of care. The work of our medical department is critical to helping us do both. Working in a call center environment under supervision, this position handles inbound calls from patients, patient representatives, providers, and other medical staff.

What you’ll add to the team:

  • Management of precertification processes of eligible medical services based on medical plan documents and medical necessity
  • Apply clinical knowledge to make determinations for pre-authorizations of specific procedures and services
  • Conduct Medical/Surgical medical necessity reviews
  • Verify and update patient information in the clinical information system
  • Attention to detail and a team-focused attitude

What you’ll bring:

  • Associates degree or higher
  • Current LPN certification in North Carolina
  • Two or more years of healthcare experience and utilization review or related experience preferred
  • Excellent communication skills with members and providers
  • Spanish-speaking candidates are preferred

Healthgram

Why Work Here?

Bring our mission to champion healthy living to life – with competitive benefits, onsite wellness perks and a purpose-driven culture.

Healthgram is a forward-thinking company committed to redefining healthcare through technology, prevention, and transparency. We are driven by a common goal of true healthcare reform, with technology at the core. We know that healthcare must evolve beyond traditional, responsive sick care and focus on preventive care: keeping healthy people healthy, helping those with reversible conditions get better, and helping those with chronic illnesses manage their conditions.

Address

8731 Red Oak Blvd, Charlotte, NC 28217
Fort Mill, SC
USA

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