Pre-Certification & Insurance Verification Specialist

Alliance Spine and Pain Centers; Atlanta (GA); On-site; USD 38,000 - 54,000; Full time

Job summary

Alliance Spine and Pain Centers is seeking a Full-Time Pre-Certification Specialist at the Buckhead location. This role supports insurance verification, referrals, and pre-certifications for surgeries and procedures, while educating patients on costs and coverage.

You will maintain accurate records in the practice management system and liaise with staff to ensure timely authorizations. Qualified candidates have a high school diploma, strong organization, medical terminology knowledge, and

Qualifications

• High school diploma or equivalent.
• Organization and attention to detail.
• Working knowledge of medical terminology.
• ICD-10 and CPT codes.
• Pre-certification and authorization experience in specialist office and radiology.
• Insurance verification experience (strongly preferred).

Responsibilities

• Verifies insurance benefits and obtains referrals and pre-certifications for procedures.
• Updates patient accounts in the practice management system.
• Generates Letters of Medical Necessity as requested by Insurance Carriers.
• Maintains knowledge of billing policies and procedures.
• Responds to staff or patient questions regarding insurance procedures and policies.
• Serves as patient advocate during the account cycle and notes benefits in the system.
• Attends insurance-related meetings as needed.
• Ensures compliance with applicable regulations and internal policies.

Skills

Organization and attention to detail

Medical terminology knowledge

Customer service

Communication skills

Education

High school diploma or equivalent

ICD-10 and CPT codes

Pre-certification and authorization experience in specialist office and radiology

Insurance verification experience (strongly preferred)

Tools

Eclinical

Microsoft Office

Job description

Alliance Spine and Pain Centers is seeking a Full-Time Pre-Certification Specialist at the Buckhead location. This role supports insurance verification, referrals, and pre-certifications for surgeries and procedures, while educating patients on costs and coverage.

You will maintain accurate records in the practice management system and liaise with staff to ensure timely authorizations. Qualified candidates have a high school diploma, strong organization, medical terminology knowledge, and