Pre-Certification Specialist — Ensure Timely Patient Approvals

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

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.