Top 55 Quality documentation specialist Jobs in Valdosta, Ga

PRECERTIFICATION PRIOR AUTHORIZATION SPECIALIST, CENTRALIZED
South Georgia Medical Center —Valdosta, GA
- 8 hour shift
- Microsoft Excel
- Microsoft Outlook
- Heavy lifting
- Disability insurance
- Tuition reimbursement
Military Service - U.S. Air National Guard, Air Transportation
Military Service - U.S. Air National Guard Recruiting —Georgia
- From $65,981.27 a year
- Full-time
- Driver's License
- Entry level
- Health insurance
Utilization Specialist
Greenleaf Behavioral Health Hospital —Valdosta, GA
- Full-time
- CPR Certification
- Nursing
- RN License
HR People Operations Specialist
CJB Industries, Inc. —Valdosta, GA
- Microsoft Outlook
- Bachelor of Science
- Basic math
Quick Apply
START - Residential Care Specialist I
Legacy Behavioral Health Services —Valdosta, GA
- Weekends as needed
- CPR Certification
- Residential
- High school diploma or GED
- 401(k) matching
BROOKS ITR - Residential Care Specialist I
Legacy Behavioral Health Services —Valdosta, GA
- Weekends as needed
- CPR Certification
- Residential
- High school diploma or GED
- 401(k) matching
Materials Specialist
BLUE OPS INC —Valdosta, GA
- Background check
- Mid-level
- Microsoft Office
Quick Apply
5d
HERITAGE HOUSE - Residential Care Specialist I(ROTATING WEEKENDS REQUIRED)
Legacy Behavioral Health Services —Valdosta, GA
- Weekends as needed
- CPR Certification
- Residential
- High school diploma or GED
- 401(k) matching
6d
HERITAGE HOUSE - Residential Care Specialist I
Legacy Behavioral Health Services —Valdosta, GA
- Weekends as needed
- CPR Certification
- Residential
- High school diploma or GED
- 401(k) matching
Accounts Receivable Specialist
Ace Electric —Valdosta, GA
- Full-time
- English
- Mid-level
- Office
- Dental insurance
- Vision insurance
Quick Apply
Program Instructor - High School Equivalency Program
Valdosta State University —Valdosta, GA
- $47,218 a year
- Full-time
- Background check
- Laboratory
- Classroom
Paint Specialist
BLUE OPS INC —Valdosta, GA
- Background check
- 5 years
- Computer literacy
Quick Apply
PROFESSIONAL CODER II, REVENUE CYCLE MEDICAL GROUP
South Georgia Medical Center —Valdosta, GA
- 8 hour shift
- Anatomy knowledge
- Microsoft Excel
- Medical office experience
- Disability insurance
- Tuition reimbursement
MLT
Archbold Medical Center —Quitman, GA
- PRN
- Hospital
- Pass drug screening
- Home Health
- Health insurance
- Dental insurance
Optical Assoc I
South Georgia, North Florida Eye Partners —Valdosta, GA
- Full-time
- Microsoft Excel
- Inventory management
- Merchandising
- Health savings account
- AD&D insurance
7d
Psychiatric Mental Health Nurse Practitioner - Full Time
Legacy Behavioral Health Services —Valdosta, GA
- Weekends as needed
- Experience working with individuals with developmental disabilities
- Psychiatry
- HIPAA
- Disability insurance
- Health insurance
Nursing _ Registered Nurse, Hourly SOUTHWEST
ResCare Community Living —Valdosta, GA
- Full-time
- CPR Certification
- Nursing
- RN License
Physical Therapist
Contact Government Services, LLC —Valdosta, GA
- $85,000 - $90,000 a year
- Full-time
- CPR Certification
- BLS Certification
- Physical & Rehabilitation Medicine
- Health insurance
- Dental insurance
Quick Apply
Associate Veterinarian (DVM) - Hahira, GA
Desort —Hahira, GA
- $100,000 - $200,000 a year
- Online Application
- Mid-level
- Surgery
- Communication skills
- Relocation assistance
- Dental insurance
Quick Apply
Associate Veterinarian (DVM) - Dasher, GA
Desort —Dasher, GA
- $100,000 - $200,000 a year
- Online Application
- Mid-level
- Surgery
- Communication skills
- Relocation assistance
- Dental insurance
Quick Apply

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PRECERTIFICATION PRIOR AUTHORIZATION SPECIALIST, CENTRALIZED

South Georgia Medical Center -
Valdosta, GA

Apply Now

Job Details

Full-time

Benefits

Disability insurance
Tuition reimbursement
Paid time off
On-the-job training
Employee assistance program
401(k) matching
Employee discount
Opportunities for advancement
Life insurance
Pet insurance

Qualifications

Computer operation
Microsoft Excel
Microsoft Outlook
Windows
Administrative experience
Fax machines
Desktop applications
Faxing
Technical Proficiency

Full Job Description

Description

WHAT IT'S LIKE AT SGMC HEALTH

Purpose. No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.

Excellence. We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service.

Team Spirit. We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment.

Award Winning Performance. We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.

WHY YOU WILL LOVE SGMC HEALTH

SGMC has great benefit options, depending on the role that you are going into– including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand your skill set. Some of these great benefit options are listed below:

Low Healthcare Insurance Premiums
401(k) with employer match
Paid Time Off (PTO)
Employee discounts
Company paid life insurance
Short-Term and Long-Term Disability
Cancer Insurance
Accident Insurance
Pet Insurance
Tuition Reimbursement
On-the-job training and skills development
Opportunities for growth and advancement
Employee Assistance Program

JOB LOCATION : SGMC Patient Financial Services

DEPARTMENT: CENTRAL SCHEDULING

SCHEDULE: Full Time, 8 HR Day Shift,

POSITION SUMMARY

Responsible for obtaining precertification and/or prior authorization for each patient for which testing or procedures have been ordered by PCCC Medical Oncologists and Radiation Oncologist, including but not limited to all radiologic testing, injections, chemotherapy and/or radiation treatments, prior to services being rendered, using appropriate diagnoses and procedure codes. The precertification and/or authorization must be obtained on each patient by 2:00 p. m. on the day prior to their scheduled appointment. If not able to obtain precertification and/or authorization, specialist must contact the patient to reschedule their appointment. Responsible for reviewing for accuracy of information requested and received in regard to precertification and/or prior authorization numbers received, as well as supporting documents. Responsible for uploading into both Mosaiq and HIS (Series) software, authorization numbers, time spans/number of procedures, etc. and supporting documentation upon verification that procedures are authorized as requested. Responsible for appropriate use of Quality Check List (QCL) in Mosaiq as notification system for the monitoring of authorization requests and expiring authorizations. Responsible for the use of and, documentation in, Mosaiq as the official medical record, following appropriate guidelines for documenting. Responsible for contributing to program development. Other duties as identified and assigned by manager.

KNOWLEDGE, SKILLS & ABILITIES

High school graduate preferred.
Minimum (1) year prior administrative experience or equivalent; preferable in a hospital or medical office setting to include working knowledge of insurance and managed care.
Must have excellent computer (technical and systems) skills & knowledge: PC and Windows literacy required, as well as Microsoft Office applications - Outlook, Word, Excel, etc. as well as a variety of other office machines.
Prior use of medical office software database preferred.
Must possess excellent communication and interpersonal skills, and must be able work effectively as part of a team and respond well to supervision.
Self-motivated, showing initiative to tackle important issues, problems and tasks.
Attention to detail skills are critical; ability to manage multiple tasks, meet deadlines and be flexible in order to adapt to variety on the job; ability to cross train to other functions as necessary.
Requires flexibility in work scheduled for accountability expectations for operations and process management in a customer focused business.

WORKING CONDITIONS - ADA INFORMATION

Generally regular work schedule during normal office hours. Comfortable setting indoors. May be subjected to high levels of stress. Must be able to sit for prolonged periods of time. Moderate heavy lifting (0-25 lbs.), reaching, stooping, pushing, pulling, bending and twisting. Must be able to operate office equipment to include FAX, copier, and computer.

SEE WHAT ALL OF THE HYPE IS ABOUT

https://www.youtube.com/watch?v=_DeqKw8xk54

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Refine Your Search

quality documentation specialist jobs in valdosta, ga

PRECERTIFICATION PRIOR AUTHORIZATION SPECIALIST, CENTRALIZED

Military Service - U.S. Air National Guard, Air Transportation

Utilization Specialist

HR People Operations Specialist

START - Residential Care Specialist I

BROOKS ITR - Residential Care Specialist I

Materials Specialist

HERITAGE HOUSE - Residential Care Specialist I(ROTATING WEEKENDS REQUIRED)

HERITAGE HOUSE - Residential Care Specialist I

Accounts Receivable Specialist

Program Instructor - High School Equivalency Program

Paint Specialist

PROFESSIONAL CODER II, REVENUE CYCLE MEDICAL GROUP

MLT

Optical Assoc I

Psychiatric Mental Health Nurse Practitioner - Full Time

Nursing _ Registered Nurse, Hourly SOUTHWEST

Physical Therapist

Associate Veterinarian (DVM) - Hahira, GA

Associate Veterinarian (DVM) - Dasher, GA

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