Pre-Certification Specialist Lead

Umpartners; Atlanta (GA); On-site; USD 65,000 - 85,000; Full time

Job summary

Umpartners is seeking a Pre-Certification Specialist Lead in Atlanta, GA. This role oversees the Patient Access team, ensuring efficient patient registration and insurance verification.

The ideal candidate will have 2–3 years of experience in patient access, strong leadership qualities, and exceptional customer service skills. The position is full-time and requires flexibility to accommodate varying schedules.

Qualifications

• Minimum 2–3 years of experience in patient access or healthcare registration.
• Prior supervisory or leadership experience preferred.

Responsibilities

• Supervises Pre-Certification Specialists including hiring and performance evaluations.
• Implements training programs for staff in patient access functions.
• Monitors daily workflows for accuracy and completeness.
• Promotes a culture of excellent patient service.
• Prepares and analyzes reports related to patient access performance metrics.

Skills

Leadership and team-building skills

Communication and interpersonal abilities

Proficiency in scheduling systems

Insurance verification and authorization processes

Ability to manage multiple priorities

Education

High school diploma or equivalent

Associate’s or Bachelor’s degree

Job description

DESCRIPTION

The Pre-Certification Specialist Lead oversees the daily operations of the Patient Access team, ensuring efficient and accurate patient registration, scheduling, insurance verification, and authorization processes. This role is responsible for supervising Pre-Certification Specialist team, providing training, monitoring performance, and maintaining compliance with organizational policies and regulatory requirements. The supervisor ensures exceptional customer service and fosters a positive work environment.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Leadership & Supervision

• Directly supervises Pre-Certification Specialists, including hiring, onboarding, scheduling, and performance evaluations.
• Monitors daily workflows to ensure timely and accurate completion of patient access functions.
• Provides coaching and feedback to staff to maintain high standards of service and productivity.

Training & Development

• Implements training programs for staff in all areas: Check-in/out, Chart Auditing, Call Center, Scheduling, Insurance Verification, and Authorization submission.
• Ensures staff competency and compliance with organizational policies and procedures.

Operational Oversight

• Maintains adherence to HIPAA and other regulatory requirements.
• Reviews and audits patient access processes for accuracy and efficiency.
• Collaborates with other departments to resolve issues and improve workflows.

Customer Service

• Promotes a culture of excellent patient service by modeling and reinforcing positive behaviors.
• Handles escalated patient concerns and resolves issues promptly and professionally.

Reporting & Compliance

• Prepares and analyzes reports related to patient access performance metrics.
• Ensures compliance with organizational standards and payer requirements.

Other Duties

• Participates in departmental meetings and organizational initiatives.
• Performs other related duties as assigned.

REQUIREMENTS

QUALIFICATIONS

Education

• High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.

Experience

• Minimum 2–3 years of experience in patient access or healthcare registration.
• Prior supervisory or leadership experience preferred.

Skills

• Strong leadership and team-building skills.
• Excellent communication and interpersonal abilities.
• Proficiency in scheduling systems, insurance verification, and authorization processes.
• Proficient in leveraging technology to optimize workflows, ensure data accuracy, and support efficient patient access operations.
• Ability to manage multiple priorities in a fast-paced environment.

Core Competencies

• Customer Service Excellence
• Attention to Detail
• Problem-Solving
• Compliance and Confidentiality
• Team Leadership
• Use of Technology

PHYSICAL DEMANDS

• Hearing: Adequate to perform job duties in person and over the telephone.
• Speaking: Must be able to clearly communicate in person and over the telephone.
• Vision: Visual acuity adequate to perform job duties, including visual examination of patient (if applicable) and reading information from printed sources and computer screens.
• Other: Adequate physical ability includes sufficient manual dexterity to perform the requisite job duties. Job duties may require bending, reaching, repetitive hand movements, standing, walking, squatting, sitting and occasional heavy lifting, pushing and pulling.

WORK ENVIRONMENT

Work environment is typical of an office setting. Work may be fast-paced and intense at times. Interaction with others is constant and interruptions may occur. Schedule requires flexibility to occasionally include evenings, early mornings, and weekends.

Company

United Musculoskeletal Partners

Job Type

Full-time

Address

400 Perimeter Center, Atlanta, GA, 30346