Impactful Precertification Specialist

Orthohealthkc; Kansas City (MO); On-site; USD 42,000 - 56,000; Full time

Job summary

Orthohealthkc in Kansas City, MO is seeking a detail-oriented Precertification Representative to obtain precertifications and prior authorizations from insurance companies to ensure timely processing of medical services.

You will verify patient coverage, communicate with providers, patients, and insurers, maintain records, and follow up on pending approvals. This role is based in our Kansas City office, with occasional phone/email interactions and independent task management.

Qualifications

• Previous experience in medical billing, insurance verification, or precertification is a plus.
• Strong communication and interpersonal skills.
• Detail-oriented with strong organizational skills.
• Proficient in using computer systems and software related to healthcare administration.

Responsibilities

• Contact insurance companies to obtain precertifications and prior authorizations for medical procedures and services.
• Verify patient insurance coverage and eligibility.
• Communicate with healthcare providers, patients, and insurance representatives to gather necessary information.
• Maintain accurate records of all precertification requests and approvals.
• Follow up on pending authorizations to ensure timely completion.
• Assist in resolving any issues related to insurance denials or delays.
• Stay updated on insurance policies, procedures, and requirements.

Skills

Communication skills

Interpersonal skills

Detail-oriented

Organizational skills

Healthcare software

Job description

Orthohealthkc in Kansas City, MO is seeking a detail-oriented Precertification Representative to obtain precertifications and prior authorizations from insurance companies to ensure timely processing of medical services.

You will verify patient coverage, communicate with providers, patients, and insurers, maintain records, and follow up on pending approvals. This role is based in our Kansas City office, with occasional phone/email interactions and independent task management.