Healthcare Verification & Precertification Specialist

eandbortho; Louisville (KY); On-site; USD 42,000 - 62,000; Full time

Job summary

Ellis & Badenhausen Orthopaedics, PSC in Louisville, KY seeks a Verification & Precertification Specialist to support the financial integrity of patient accounts and maximize reimbursement. The role involves communicating with patients and responsible parties about financial obligations and insurance matters to smooth clinic visits or surgeries.

The ideal candidate will work collaboratively in a fast-paced environment, handle pre-certifications, verify eligibility, and maintain accurate

Qualifications

• Coordinate verification and precertification of insurance for procedures.
• Communicate patient financial obligations and insurance details clearly.
• Maintain accurate, compliant documentation across systems.

Responsibilities

• Initiate insurance pre-authorizations and submit required records.
• Verify patient eligibility and benefits via portals or calls.
• Provide cost estimates and explain coverage to patients.
• Document insurance verifications and precertification statuses.
• Identify issues delaying procedures and escalate as needed.
• Deliver high-quality customer service to patients and teams.
• Collaborate to improve workflow and reduce risk.
• Apply HIPAA and OSHA rules in daily activities.

Skills

Insurance verification

HIPAA compliance

Patient communication

Data entry

Medical terminology

Tools

EMR systems

Insurance portals

Job description

Ellis & Badenhausen Orthopaedics, PSC in Louisville, KY seeks a Verification & Precertification Specialist to support the financial integrity of patient accounts and maximize reimbursement. The role involves communicating with patients and responsible parties about financial obligations and insurance matters to smooth clinic visits or surgeries.

The ideal candidate will work collaboratively in a fast-paced environment, handle pre-certifications, verify eligibility, and maintain accurate