Managed Care Precertification Specialist – Admissions

CommuniCare Health; Indianapolis (IN); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive wages

PTO plans

401(k) with employer match

Flexible Spending Accounts

Job summary

CommuniCare Health is seeking a Precertification Specialist in Indianapolis, IN. The role involves managing pre-certification processes, requiring admissions experience and knowledge of Medicaid and Managed Care. This full-time position offers a competitive salary and benefits including a 401(k) plan with employer match. Candidates must have excellent communication skills and the ability to work flexibly within a team. The work environment supports a positive culture focused on care and excellence in healthcare service.

Qualifications

• Previous admissions experience required; Managed Care Precertification experience preferred.
• Must have knowledge of Medicaid, Medicare, and Managed Care procedures.
• Must be able to deal tactfully with team members and the public.

Responsibilities

• Perform all pre-certification processes for Admission.
• Communicate with the interdisciplinary team daily to process managed care referrals.
• Organize and maintain documentation of clinical records.

Skills

Admissions experience

Managed Care knowledge

Customer service skills

Communication skills

Organizational skills

Education

Knowledge of Medicaid, Medicare, and Managed Care procedures

Tools

Basic computer skills

Job description

CommuniCare Health is seeking a Precertification Specialist in Indianapolis, IN. The role involves managing pre-certification processes, requiring admissions experience and knowledge of Medicaid and Managed Care. This full-time position offers a competitive salary and benefits including a 401(k) plan with employer match. Candidates must have excellent communication skills and the ability to work flexibly within a team. The work environment supports a positive culture focused on care and excellence in healthcare service.