Pre-Certification & Insurance Authorization Specialist

GI Alliance; Austin (TX); On-site; USD 38,000 - 54,000; Full time

Job summary

GI Alliance is seeking a Precertification Specialist responsible for coordinating with insurance companies to obtain proper certification/authorization before patient appointments and procedures.

The ideal candidate will have at least two years of precertification experience, a high school diploma or GED, and strong knowledge of medical terminology, ICD-10 and CPT-4 codes, with excellent written and verbal communication and solid data-entry skills.

Qualifications

• High school diploma or GED required.
• Minimum of two years precertification experience.
• Proficient knowledge of medical terminology, ICD-10 and CPT-4 codes.

Responsibilities

• Obtain all requests for precertification and prior authorization from insurance companies for appointments, scheduled tests and procedures.
• Contact insurance companies as needed to obtain precertification and record on form data entry.
• Communicates necessary patient financial information with appropriate office and billing personnel in an efficient, timely and accurate manner.
• Documents, within the practice management system, all required information to include financial responsibility.
• Verify waivers have been signed as needed for tests and procedures prior to date of service.
• Communicate with staff on any adjustments on precertification.
• Light data entry and other related office duties.
• Other duties as assigned.

Skills

Excellent communication

Data entry

Multitasking

Initiative

Ethics

Education

High School diploma or GED

Job description

GI Alliance is seeking a Precertification Specialist responsible for coordinating with insurance companies to obtain proper certification/authorization before patient appointments and procedures.

The ideal candidate will have at least two years of precertification experience, a high school diploma or GED, and strong knowledge of medical terminology, ICD-10 and CPT-4 codes, with excellent written and verbal communication and solid data-entry skills.