Pre-Cert Coordinator

Non; Montgomery (AL); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Health Insurance Benefits

Job summary

The Center for Pain is seeking a dedicated Pre Certification Specialist to verify patient insurance, initiate and manage pre-certifications for procedures, and maintain precise documentation. You will collaborate with healthcare providers and billing staff to ensure timely approvals and adherence to HIPAA guidelines.

Join a patient-focused clinic that values efficiency, accuracy, and a supportive team environment.

Qualifications

• Experience as a pre certification specialist is a plus.
• Strong verbal and written communication skills.
• Proficient with healthcare software and data entry.
• Detail-oriented with HIPAA knowledge.
• Ability to collaborate with providers and billing staff.

Responsibilities

• Verify patient insurance to determine preauthorization requirements.
• Process pre-certifications for procedures, treatments, and medications.
• Maintain accurate records of approvals and denials.
• Coordinate with providers, billing, and admin staff.
• Follow up on pending requests and appeals as needed.
• Ensure compliance with insurance regulations and HIPAA.

Skills

Communication

HIPAA compliance

Data entry accuracy

Medical terminology

Organization & multitasking

Pre-authorization

Job description

Join Our Team at The Center for Pain

Are you a skilled and compassionate Pre Certification Specialist looking for a fulfilling center opportunity Look no further The Center for Pain is seeking a dedicated individual to join our dynamic team and contribute to providing exceptional care to our patients Position Pre Certification Specialist

About Us

At The Center for Pain we take pride in delivering top notch healthcare services in a friendly and efficient environment Our dedicated team of professionals is committed to providing excellent care to our patients With a strong focus on a healthy work life balance we offer a competitive wage and a supportive work environment

What Sets Us Apart

• Great Lifestyle We understand the importance of a balanced lifestyle and our clinic promotes a healthy and positive work environment
• Competitive Wage We offer a competitive package to recognize and reward your skills and dedication
• Fantastic Team Join a group of fellow employees who are not just colleagues but a supportive and collaborative team
• Efficiency Despite our busy schedule we pride ourselves on being highly efficient ensuring a streamlined and organized work environment
• Exceptional Physicians Work alongside experienced and compassionate physicians who are leaders in pain management providing an excellent learning environment
• Health Insurance Benefits Comprehensive health insurance coverage for employees ensuring peace of mind for you and your family

Key Responsibilities

• Insurance Verification Conduct thorough verification of patient insurance coverage to determine pre authorization requirements
• Pre Certification Processing Initiate and manage the pre certification process for medical procedures treatments and medications ensuring compliance with insurance guidelines
• Documentation Maintain accurate and up to date records of pre authorization approvals and denials and communicate effectively with healthcare providers patients and insurance companies
• Collaboration Work closely with healthcare providers billing and administrative staff to gather necessary information for the pre certification process
• Follow Up Monitor the status of pre certification requests promptly address any issues or denials and appeal as necessary to ensure timely approval
• Compliance Stay informed about changes in insurance regulations and policies ensuring that pre certification processes align with industry standards and compliance requirements

Qualifications

• Previous experience in a pre certification specialist role is a plus
• Strong verbal and written communication skills with the ability to interact professionally with patients insurance companies and internal team members
• Proficient computer skills comfortable using healthcare management software and other relevant tools
• Exceptional organizational and multitasking abilities to handle a high volume of pre certification requests efficiently
• Attention to detail and accuracy in data entry
• Familiarity with insurance policies pre authorization procedures and medical terminology
• Commitment to maintaining patient confidentiality and adhering to HIPAA regulations