Insurance Authorization Specialist – Pre-Cert

Southwoods Health; Boardman Township (OH); On-site; USD 42,000 - 56,000; Full time

Job summary

Southwoods Health in Boardman, Ohio, seeks a detail-oriented Pre-Certification Specialist to request and obtain insurance authorizations for procedures and imaging ordered by our physicians.

In this full-time on-site role, you will manage authorizations, verify patient data, and investigate payment sources while maintaining strict confidentiality and regulatory compliance. Join a collaborative team focused on patient care and operational excellence.

Qualifications

• Minimum of two (2) years of experience handling medical procedure and imaging pre-authorizations across multiple modalities and specialties.
• FP or IM office experience is highly preferred.
• Proven insurance verification expertise and meticulous attention to detail.
• Excellent interpersonal skills with a professional demeanor and strong ethics.

Responsibilities

• Request, track, obtain, and extend pre-authorizations from various insurance carriers in a timely manner.
• Gather accurate patient data and investigate alternative payment sources to initiate services.
• Assist in resolving complex insurance issues, re-authorizations, and eligibility discrepancies.
• Respond to referral sources with required documentation and medical reports.
• Maintain and update insurance details in EMR and internal databases for payer verifications.

Skills

Insurance verification

Problem solving

Attention to detail

Interpersonal skills

Education

Medical terminology training

Business office operations

Computer applications training

Job description

Southwoods Health in Boardman, Ohio, seeks a detail-oriented Pre-Certification Specialist to request and obtain insurance authorizations for procedures and imaging ordered by our physicians.

In this full-time on-site role, you will manage authorizations, verify patient data, and investigate payment sources while maintaining strict confidentiality and regulatory compliance. Join a collaborative team focused on patient care and operational excellence.