Precertification Nurse -Florida vacancy at Chamberlin Edmonds in Atlanta

Chamberlin Edmonds is presently looking of Precertification Nurse -Florida on Tue, 29 Oct 2013 20:38:09 GMT. This position is responsible for obtaining retrospective certification for Florida Medicaid accounts. The nurse is responsible for abstracting information from medical records to pre-certification forms for submission to Medicaid agencies in order to obtain approval for payment. • Retrieves medical records from the medical records department • Writes pre-certification utilizing all patient...

Precertification Nurse -Florida

Location: Atlanta Georgia

Description: Chamberlin Edmonds is presently looking of Precertification Nurse -Florida right now, this vacancy will be placed in Georgia. For detail informations about this vacancy opportunity kindly see the descriptions. This position is responsible for obtaining retrospective certification for Florida Medicaid accounts. The nurse is responsible for abstracting information from medical records to pr! e-certification forms for submission to Medicaid agencies in order to obtain approval for payment. • Retrieves medical records from the medical records department • Writes pre-certification utilizing all patient information available (written and computerized) • Documents all diagnostic procedures with CPT and ICD9 codes accurately and efficiently • Checks precerts for completeness and accuracy prior to submitting to Medicaid agencies • Follows up on obtaining medical records prior to deadlines • Identifies and/or clarifies inpatient vs. outpatient stays, discharge times and other vital information that will ensure the accurate of pre-certification • Writes pre-cert appeals in a timely and efficient manner and notifies appropriate parties of expiration dates • Runs weekly reports to identify records needed and communicates information needed to the medical records staff • Obtains pre-cert numbers via on-line system at the Medicaid agency and performs docum! entation in both company and hospital systems for Florida acco! unts • Assists with other duties as assigned

• Licensed RN or LPN with a strong understanding of medical terminology • Minimum 5 years in a medical setting • Good typing and clerical skills are a MUST • Strong communication skills (verbal & written) â€" excellent telephone communication ability is a MUST • Computer skills, including Microsoft Word and Excel required.

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If you were eligible to this vacancy, please email us your resume, with salary requirements and a resume to Chamberlin Edmonds.

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This vacancy starts available on: Tue, 29 Oct 2013 20:38:09 GMT

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