Pre-Certification Specialist: Medical Billing & Compliance

Huntsville Hospital; Madison (AL); On-site; USD 36,000 - 48,000; Full time

Job summary

Huntsville Hospital is seeking a Pre-Certification Representative to obtain insurance pre-authorizations for services requiring referral or prior authorization. The role emphasizes HIPAA-compliant handling of protected health information and accuracy in processing approvals.

Candidates should have at least a high school diploma, 3 years in medical insurance or billing, and proficiency with Word, Excel, and EMR/Billing systems. Strong communication and teamwork are essential.

Qualifications

• Education: High School diploma or GED required; post-secondary education preferred.
• Experience: 3 years of medical insurance or medical billing experience required; 1 year of pre-certifications preferred.
• Proficiency with Word, Excel and EMR/Billing systems; understanding of medical terminology and general medical billing processes; basic medical coding.

Skills

Word

Excel

EMR/Billing

Medical terminology

Medical coding

Insurance requirements

High volume processing

Verbal communication

Written communication

Teamwork

Dependability

Initiative

Education

High School diploma or GED

Post-secondary education

Tools

EMR/Billing systems

Job description

Huntsville Hospital is seeking a Pre-Certification Representative to obtain insurance pre-authorizations for services requiring referral or prior authorization. The role emphasizes HIPAA-compliant handling of protected health information and accuracy in processing approvals.

Candidates should have at least a high school diploma, 3 years in medical insurance or billing, and proficiency with Word, Excel, and EMR/Billing systems. Strong communication and teamwork are essential.