Pre-Certification Specialist - Fast-Paced Healthcare Access

Deborah Heart and Lung Center; Pemberton Township (NJ); On-site; USD 21,000 - 29,000; Full time

Benefits offered by this job

Health insurance

Paid time off

401K match

Tuition assistance

Disability benefits

Life insurance

Meal discount

Dependent care subsidy

Adoption assistance

Free parking

Job summary

Deborah Heart and Lung Center is seeking a detail-oriented professional to obtain authorizations and managed care referrals for outpatient encounters. You will verify benefits and handle pre-certification for elective and emergency admissions, while supporting pre-registration and order entry tasks.

The role requires the ability to manage high patient volumes in a fast-paced environment. Experience with insurance processes and familiarity with managed care plans is preferred.

Qualifications

• Six months to one year of recent experience with insurance companies, physician’s office, billing company, or other healthcare setting.
• Familiarity with managed care insurance and commercial insurance plans.

Responsibilities

• Obtain authorizations and/or managed care referrals for outpatient encounters.
• Verify benefits and pre-certification for elective and emergency admissions and obtaining Notices of Admissions.
• Assist the Department of Patient Access Services in performing pre-registration requirements, order entry, etc.

Skills

Medical Terminology

Anatomy and Physiology

CPT coding

Excellent communication

Education

High School or GED

Job description

Deborah Heart and Lung Center is seeking a detail-oriented professional to obtain authorizations and managed care referrals for outpatient encounters. You will verify benefits and handle pre-certification for elective and emergency admissions, while supporting pre-registration and order entry tasks.

The role requires the ability to manage high patient volumes in a fast-paced environment. Experience with insurance processes and familiarity with managed care plans is preferred.