Patient Insurance Verification & Pre-Cert Specialist

Lourdes Health; Pasco (WA); On-site; USD 25,000 - 34,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

401(k) with company match

Tuition assistance

Paid time off

Job summary

Lourdes Health is seeking an Insurance Specialist to verify insurance benefits, secure pre-certifications, and estimate patient liabilities for outpatient procedures. This role supports hospital operations and collaborates with physician offices to ensure timely scheduling and accurate documentation.

The position is full-time, with standard Monday–Friday hours, and is not remote. Ideal candidates will have at least one year of experience in pre-certification and verification with multiple

Qualifications

• One year experience with obtaining and verifying pre-certifications with various insurance companies.

Responsibilities

• Verify and document insurance benefits and obtain pre-certifications.
• Notify physician offices and scheduling if pre-cert is not obtained in time for appointment.
• Handle heavy phone and payer website communications per regulations.
• Communicate with payers regarding CPT code discrepancies or changes.
• Perform insurance verification, eligibility and pre-certification for outpatient procedures.
• Maintain knowledge of outpatient imaging policies and procedures.
• Verify active insurance coverage and determine patient benefits.
• Coordinate with Benefits and Notification Specialist for uninsured cases.
• Collaborate with physician offices to obtain relevant clinical information.
• Create and explain patient liability estimates for scheduled procedures.
• Contact patients or offices if insurance information is invalid.
• Provide registration duties as needed.
• Perform other duties as assigned.

Skills

Insurance verification

Education

Two years of college or medical office education

Job description

Lourdes Health is seeking an Insurance Specialist to verify insurance benefits, secure pre-certifications, and estimate patient liabilities for outpatient procedures. This role supports hospital operations and collaborates with physician offices to ensure timely scheduling and accurate documentation.

The position is full-time, with standard Monday–Friday hours, and is not remote. Ideal candidates will have at least one year of experience in pre-certification and verification with multiple