Pre-Certification Specialist — Streamlined Patient Access

Clearway Pain Solutions; Montgomery (AL); On-site; USD 36,000 - 60,000; Full time

Benefits offered by this job

Health Insurance Benefits

Competitive wage

Supportive team

Job summary

The Center for Pain is seeking a dedicated Pre-Certification Specialist to join our team. This role focuses on verifying patient insurance, initiating pre-certification for procedures, and maintaining accurate documentation to ensure timely approvals.

Ideal candidates will demonstrate strong communication, attention to detail, and proficiency with healthcare management software while upholding HIPAA regulations and collaborating with providers and staff.

Qualifications

• Previous experience in a pre-certification specialist role is a plus.
• Strong verbal and written communication skills.
• Proficient with healthcare management software.
• Excellent organizational and multitasking abilities.
• Attention to detail and data entry accuracy.
• Familiarity with insurance policies and pre-authorization procedures.
• Commitment to HIPAA regulations and patient confidentiality.

Responsibilities

• Insurance verification to determine pre-authorization requirements.
• Initiate and manage pre-certification for procedures, treatments, and medications.
• Maintain accurate records of approvals and denials and communicate with providers, patients, and insurers.
• Collaborate with healthcare providers, billing, and administrative staff to gather necessary information.
• Monitor status of pre-certification requests and address denials or issues promptly.
• Ensure compliance with changing insurance regulations and policies.

Skills

Communication skills

HIPAA compliance

Data entry

Healthcare software

Organizational skills

Tools

EMR software

Healthcare billing systems

Job description

The Center for Pain is seeking a dedicated Pre-Certification Specialist to join our team. This role focuses on verifying patient insurance, initiating pre-certification for procedures, and maintaining accurate documentation to ensure timely approvals.

Ideal candidates will demonstrate strong communication, attention to detail, and proficiency with healthcare management software while upholding HIPAA regulations and collaborating with providers and staff.