Medical Precertification Specialist at TEKsystems Washington DC

TEKsystems; Washington (District of Columbia); On-site; USD 34,440 - 41,328; Full time

Benefits offered by this job

Blue Cross Blue Shield benefits

Dental & Vision

401k

HSA

Life Insurance

PTO

Job summary

TEKsystems seeks a Medical Precertification Specialist in Washington, DC to support a large healthcare client base in the DMV area. This contract-to-hire (6 months) role focuses on prior authorization, precertification, and accurate charge entry within the Practice Management System.

Responsibilities include verifying demographics and insurance, scheduling, and ensuring data quality for billing, with opportunities for growth, training, and benefits as part of a stable, publicly traded employer.

Qualifications

• At least 2 years of experience in Prior Authorization, Precertification, or Charge Entry.
• Associate’s Degree required.
• EMR experience preferred.

Responsibilities

• Contributes to achievement of department goals while adhering to policies and safety standards.
• Verifies patient demographics and insurance information in the Practice Management System.
• Schedules appointments/procedures and enters relevant data for billing and medical records.
• Communicates with patients and healthcare staff to coordinate efficient flow and data accuracy.
• Ensures compliance with state, local, and federal regulations and organizational policies.
• Obtains referrals and authorizations and forwards to the A/R department within two days of service.

Skills

Prior Authorization

Precertification

Charge Entry

Education

Associate’s Degree

Tools

EMR system

Job description

Medical Precertification Specialist – Washington, DC

Contract-to-Hire (6 months) position with TEKsystems, based in Washington, DC.

Job Overview

Working with an extensive client base, we are searching for experienced Medical Authorization and Precertification Specialists in the DC, Maryland, and Northern Virginia area.

Benefits

• Opportunity to work for a leading healthcare organization in the DMV area.
• Friendly team with supportive leadership.
• Blue Cross Blue Shield benefits package (Dental, vision, 401k).
• Join the largest employer and hospital in DMV.
• Publicly traded, stable employer.
• Best-in-class training.
• Growth opportunities with cross‑training and internal promotion.
• Pay range: $25–$30 per hour.
• Medical, dental & vision.
• Critical Illness, Accident and Hospital coverage.
• 401(k) retirement plan with pre‑tax and Roth post‑tax contributions.
• Life Insurance (voluntary life & AD&D for employee and dependents).
• Short‑term and long‑term disability.
• Health Spending Account (HSA).
• Transportation benefits.
• Employee Assistance Program.
• Time Off/Leave (PTO, vacation, or sick leave).

Responsibilities

• Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards.
• Complies with governmental and accreditation regulations.
• Acts as a liaison during patient encounters by utilizing office policies and procedures; greets each patient in a friendly manner and verifies demographic and insurance information in the Practice Management System.
• Schedules appointments and/or procedures, entering all relevant patient information into the Practice Management System to ensure proper preparation of the medical record and billing information prior to the time of appointment or procedure.
• Answers the telephone with a positive and professional tone before the fourth ring and directs or resolves the call appropriately to ensure efficient call handling.
• Enhances continuity of care by using the Practice Management System’s integrated functions (recalls, confirmations, wait lists, and online appointments).
• Interacts with practice employees, physicians, and others by obtaining and communicating essential data and assisting team members to coordinate efficient patient flow through the practice.
• Maintains a regulatory/compliance environment by following organizational policies and procedures to ensure compliance with state, local, and federal standards and regulations.
• Obtains, identifies, and forwards referrals and authorizations to the A/R Department within two days of the date of service, reviewing dates, billed procedures, physician signature, and batching worksheets to ensure claims are mailed with appropriate documentation.
• Performs check‑out procedures by entering patient charges and verifying demographic and insurance information in the Practice Management System, ensuring charges are entered within two days of the date of service.
• Confirms each patient understands co‑pay, balance, and billing procedures in compliance with the Collections Policy Manual.

Qualifications

• At least 2 years of experience in Prior Authorization, Precertification, or Charge Entry.
• Associate’s Degree required.
• Experience with electronic medical records (EMR) preferred.

Equal Opportunity Statement

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.