Medical Preauthorization Specialist

Methodist Le Bonheur Healthcare; Memphis (TN); On-site; USD 42,000 - 54,000; Full time

Job summary

Methodist Le Bonheur Healthcare in Memphis is seeking a precertification clerk to manage authorizations for inpatient, diagnostic, and outpatient services. You will ensure complete documentation for insurer guidelines and collaborate with physicians and care teams to secure approvals.

The role emphasizes attention to medical necessity, accurate coding references (CPT/HCPCS/ICD-10), and strong written and verbal communication in a fast-paced healthcare environment.

Qualifications

• Requires High School diploma or equivalent.
• 1–3 years of medical insurance authorizations experience.
• Knowledge of CPT/HCPCS/ICD-10 codes preferred.

Responsibilities

• Precertify eligible medical services and procedures for inpatient, diagnostic, and outpatient settings.
• Coordinate and prepare all documentation required for precertification.
• Maintain accurate records and communicate with physicians, office staff, patients, and payers.

Skills

Analytical skills

Attention to detail

Verbal & written communication

Microsoft Word

Education

High School Diploma or Equivalent

Tools

Healthcare information system

CPT/HCPCS/ICD-10 knowledge

Job description

Methodist Le Bonheur Healthcare in Memphis is seeking a precertification clerk to manage authorizations for inpatient, diagnostic, and outpatient services. You will ensure complete documentation for insurer guidelines and collaborate with physicians and care teams to secure approvals.

The role emphasizes attention to medical necessity, accurate coding references (CPT/HCPCS/ICD-10), and strong written and verbal communication in a fast-paced healthcare environment.