Healthcare

Precertification Specialist

Contract

Strategic Staffing Solutions

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!  

Job Title: Precertification Specialist

Location: Detroit, MI

Role Type: W2 Only

Contract Length: 12 Months w/ Possible Extension

How to Apply: Please send resume and contact information to Rene May, Sourcing Specialist, at RMay@strategicstaff.com and reference job #209599.

Job Description/Responsibilities:

  • Provide high quality, provider focused servicing using knowledge of plans, products, systems, and procedures to meet or exceed provider experience
  • Work as a team member to assist nurses with creating Inpatient authorizations
  • Concisely and accurately enter documentation into Care Advance and Content Manager systems
  • Effectively engage over the phone via both inbound and/or outbound to providers authorization status calls
  • Refer and/or warm transfer to wellness and care management components and other BCBSM areas and vendors as needed
  • Access various department mailboxes and voicemail as needed

Required Qualifications/Experience:

  • Medical Terminology or medical background such as nursing assistant/tech or doctor office experience
  • Some college credits (2-year degree preferred)
  • Medical terminology
  • Call center background
  • Advanced computer skills
  • 40+ WPM typing
  • Critical Thinking
  • Quick learner

S3 supports and adheres to customer COVID-19 vaccination policies, which may include the disclosure of vaccination status.

The S3 Difference

The global mission of S3 is to build trusting relationships and deliver solutions that positively impact our customers, our consultants, and our communities.  The four pillars of our company are to:

  • Set the bar high for what a company should do
  • Create jobs
  • Offer people an opportunity to succeed and change their station in life
  • Improve the communities where we live and work through volunteering and charitable giving

As an S3 employee, you’re eligible for a full benefits package that may include:

  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Plan
  • Vacation Package
  • Life & Disability Insurance Plans
  • Flexible Spending Accounts
  • Tuition Reimbursement

Job ID: JOB-209599
Publish Date: 23 Nov 2022

Tagged as: Precertification Specialist