Behavioral Health Precertification Specialist

SUN Houston; Houston, Northern (TX, KY); Hybrid; USD 25,000 - 30,000; Part time

Job summary

SUN Behavioral Houston is seeking a part-time Precertification Specialist to obtain pre-certifications and pre-authorizations for hospital service lines, coordinating with insurance carriers and hospital departments.

You will maintain payer files, track authorizations, ensure HIPAA compliance, document communications, and prioritize requests while upholding safety and teamwork in a fast-paced behavioral health setting.

Qualifications

• High school diploma or GED required; CPR and hospital-selected de-escalation technique certification.
• 1 year of experience in a behavioral healthcare setting preferred; precertification experience a plus.
• Maintains up-to-date payer requirements and documentation for authorizations.

Responsibilities

• Request, track and obtain pre-authorizations from insurance carriers within time limits.
• Maintain payer files with current authorization requirements.
• Document all communications and contacts per hospital standards (HIPAA compliant).
• Prioritize requests by urgency and communicate insurance changes to the team.
• Answer insurance-related inquiries and support department workflows.

Skills

Payer requirements

Precertification processes

Medical terminology

HIPAA compliance

Communication skills

Documentation

Teamwork

Education

High school diploma or GED

Associates or Bachelor's degree

Job description

SUN Behavioral Houston is seeking a part-time Precertification Specialist to obtain pre-certifications and pre-authorizations for hospital service lines, coordinating with insurance carriers and hospital departments.

You will maintain payer files, track authorizations, ensure HIPAA compliance, document communications, and prioritize requests while upholding safety and teamwork in a fast-paced behavioral health setting.