Medical Pre-Certification & Authorization Specialist

OrthoNebraska; Omaha (NE); On-site; USD 40,000 - 55,000; Full time

Job summary

A healthcare provider in Omaha is seeking a Pre-Certification Specialist to verify patient insurance coverage and facilitate prior authorizations for services. The ideal candidate will possess a high school diploma and have at least 2 years of experience in a healthcare environment. Excellent verbal communication, detail orientation, and knowledge of medical terminology are preferred. This full-time role operates on weekdays from 8:00 AM to 4:30 PM.

Qualifications

• 2+ years experience in a healthcare environment required.
• Knowledge of CPT and ICD-10 codes preferred.
• Excellent telephone etiquette.

Responsibilities

• Verify insurance eligibility and benefits.
• Process inbound provider orders for services timely.
• Document interactions with payers regarding authorizations.

Skills

Insurance terminology knowledge

Excellent verbal and written communication

Detail-oriented

Education

High School Diploma or GED

Job description

A healthcare provider in Omaha is seeking a Pre-Certification Specialist to verify patient insurance coverage and facilitate prior authorizations for services. The ideal candidate will possess a high school diploma and have at least 2 years of experience in a healthcare environment. Excellent verbal communication, detail orientation, and knowledge of medical terminology are preferred. This full-time role operates on weekdays from 8:00 AM to 4:30 PM.