Pre-Certification Specialist - Patient Access & Compliance

Kuresmart; Montgomery (AL); On-site; USD 25,000 - 30,000; Full time

Benefits offered by this job

Health Insurance Benefits

Competitive Wage

Job summary

The Center for Pain is seeking a Pre-Certification Specialist to join our healthcare team in Montgomery, Alabama. You will verify insurance coverage, initiate pre-authorizations, and collaborate with physicians and billing staff to ensure timely patient care.

We offer a patient-focused, efficient work environment with a competitive wage and comprehensive health insurance benefits. This role emphasizes accuracy, confidentiality, and good communication within a busy outpatient setting.

Qualifications

• Previous experience in pre-certification is a plus.
• Strong verbal and written communication skills.
• Proficient with healthcare software and data entry.
• Detail-oriented with the ability to multitask.
• Knowledge of insurance policies and pre-certification procedures.

Responsibilities

• Verify patient insurance and determine pre-authorization needs.
• Process pre-certifications for procedures, treatments, and medications.
• Maintain accurate records of approvals and denials.
• Collaborate with providers, billing, and staff to collect required information.
• Monitor requests and follow up to ensure timely approvals.
• Stay compliant with HIPAA and evolving regulations.

Skills

Communication skills

Multitasking

Attention to detail

HIPAA compliance

Tools

Healthcare management software

Job description

The Center for Pain is seeking a Pre-Certification Specialist to join our healthcare team in Montgomery, Alabama. You will verify insurance coverage, initiate pre-authorizations, and collaborate with physicians and billing staff to ensure timely patient care.

We offer a patient-focused, efficient work environment with a competitive wage and comprehensive health insurance benefits. This role emphasizes accuracy, confidentiality, and good communication within a busy outpatient setting.