Precertification & Authorization Specialist

Mercy Health Corporation; Harvard (IL); On-site; USD 37,000 - 58,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Life & Disability Insurance

FSA/HSA Options

Paid time off

Parental leave

Job summary

Mercyhealth is seeking an Insurance Pre-Certifications Specialist to coordinate pre-certifications and predeterminations, verify eligibility and benefits, and obtain required clinical documents. You will communicate with insurance companies, providers, and financial teams to resolve coverage issues and support timely reimbursement.

Qualifications include a high school diploma and at least one year of healthcare-related experience; Epic knowledge is a plus, with a full-time schedule of 40 hours

Qualifications

• High school diploma or equivalent preferred.
• One year of pre-certifications, medical billing, registration, healthcare experience, or other business or healthcare related education preferred.
• Knowledge of Epic preferred.

Responsibilities

• Identify patients requiring pre-certification or pre-determination.
• Obtain precertifications, determine eligibility and benefits.
• Coordinate with insurance companies to resolve coverage issues and ensure payment.

Skills

Oral communication

Organizational skills

Stress management

Computer literacy

Epic knowledge

Independent work

Education

High school diploma

One year healthcare experience

Tools

Epic

Job description

Mercyhealth is seeking an Insurance Pre-Certifications Specialist to coordinate pre-certifications and predeterminations, verify eligibility and benefits, and obtain required clinical documents. You will communicate with insurance companies, providers, and financial teams to resolve coverage issues and support timely reimbursement.

Qualifications include a high school diploma and at least one year of healthcare-related experience; Epic knowledge is a plus, with a full-time schedule of 40 hours