Impactful Precertification Assistant - Healthcare Compliance

St. Joseph’s/Candler Health System; Savannah, Northern (GA, KY); Hybrid; USD 40,000 - 60,000; Full time

Job summary

St. Joseph’s/Candler Health System in Savannah, GA, seeks a Pre-Certification Specialist Assistant (PSA) to review scheduled elective accounts and ensure precertification is obtained.

The role collaborates with physician offices and hospital departments to secure documentation and timely service. The PSA provides excellent internal and external customer service, stays current on industry standards, and communicates across teams to minimize precertification denials.

Qualifications

• 2-3 years clerical experience required
• 1-2 years insurance experience preferred
• High School Diploma - Preferred

Responsibilities

• Compile and distribute daily service reports; review account to determine if certification is required and work with physician offices to ensure certification is obtained and documented.
• Determines if authorization is required and accurately documents account information.
• Monitor various reports for precertification needs; perform initial review prior to date of service and concurrent review until precertification obtained; communicate with other departments to reduce denials.
• Review updated information from payers and monitor payer web portals; maintain updated files on specific payer requirements.

Education

High School Diploma - Preferred

Job description

St. Joseph’s/Candler Health System in Savannah, GA, seeks a Pre-Certification Specialist Assistant (PSA) to review scheduled elective accounts and ensure precertification is obtained.

The role collaborates with physician offices and hospital departments to secure documentation and timely service. The PSA provides excellent internal and external customer service, stays current on industry standards, and communicates across teams to minimize precertification denials.