Pre-Certification & Scheduling Specialist

Charleston Area Medical Center; Charleston (WV); On-site; USD 40,000 - 58,000; Full time

Benefits offered by this job

Hotel or travel perks

Job summary

Charleston Area Medical Center is seeking a Pre-Certification Specialist for General Surgery at Memorial-MSOB. The role focuses on obtaining accurate pre-certification authorizations, coordinating referrals, and scheduling physician-ordered tests and procedures to support returning and new patients.

Responsibilities include reviewing patient insurance to determine medical necessity, communicating with Medicare and insurers, and maintaining accurate medical charts.

Qualifications

• Experience in handling pre-certifications and referrals is preferred.

Responsibilities

• Daily review of charts to determine if pre-certification or referrals are needed.

Skills

Detail oriented

Communication skills

Medical terminology

Patient group knowledge

Education

High School Diploma or GED

Job description

Charleston Area Medical Center is seeking a Pre-Certification Specialist for General Surgery at Memorial-MSOB. The role focuses on obtaining accurate pre-certification authorizations, coordinating referrals, and scheduling physician-ordered tests and procedures to support returning and new patients.

Responsibilities include reviewing patient insurance to determine medical necessity, communicating with Medicare and insurers, and maintaining accurate medical charts.