Under the supervision of the Director of Precertification, the Manager is responsible for daily operations of the Surgical Precertification activities for both the Temple Main campus, the inpatient Temple Bone Marrow Transplant Unit and targeted high dollar outpatient drug costs.
Education
Bachelors Degree : (Required)
Masters Degree (Preferred)
Experience
5 Years experience in Precertification or Appeals in either a hospital or insurance company (Required)
2 Years experience in a supervisory/management role, preferable in Union (Required)General Experience and knowledge of insurance reimbursement requirements (Required)
License/Certifications
RN-LIC - PA Registered Nurse License (Required)