Precertification Specialist - UT Gastroenterology

Key Responsibilities

• Monitor scheduled procedures and maintain an organized tracking list for precertification status
• Verify insurance eligibility and benefits via phone and online portals
• Obtain prior authorizations according to payer requirements
• Update insurance and policy details in the NextGen system
• Confirm receipt of all required authorization documentation prior to procedures
• Assign appropriate ICD-10 and CPT codes
• Communicate effectively with clinical and administrative staff to support timely procedures

Requirements

• Professional medical coding certification or a minimum of two years of related experience preferred
• Insurance verification experience required

Skills, Knowledge, And Abilities

• Maintains a professional and polished appearance
• Strong verbal communication and interpersonal skills
• Working knowledge of medical billing practices and managed care environments
• Familiarity with a variety of insurance plans and payer types
• Highly organized, detail-oriented, and self-motivated
• Proficient in Microsoft Office and Windows-based applications