Pre-Certification Specialist (32008)

Responsibilities

• Obtain all requests for precertification and prior authorization from insurance companies for scheduled tests and procedures.
• Contact insurance companies as needed to obtain precertification and record on form data entry.
• Communicates necessary patient financial information with appropriate office and billing personnel in an efficient, timely and accurate manner.
• Documents, within the practice management system, all required information to include financial responsibility.
• Verify waivers have been signed as needed for tests and procedures prior to date of service.
• Communicate with staff on any adjustments on precertification.
• Light data entry and other related office duties.
• Other duties as assigned.

Qualifications

• Education: High School diploma or GED.
• Experience: Minimum of two (2) years of pre-certification experience required.
• Additional Qualifications: Proficient knowledge of medical terminology, ICD-10 and CPT-4 codes.
• Performance Requirements: Excellent communication skills, both written and verbal; Proficient technical (computer) skills; Ability to multi-task and prioritize; Self-motivated with initiative; Strong sense of ethics.