Precertification & Authorization Specialist

Allied Digestive Health; West Long Branch (NJ); On-site; USD 40,000 - 60,000; Full time

Job summary

A healthcare provider is seeking a Precert Coordinator to manage precertification and prior authorization processes. This role ensures prompt insurance approvals, minimizes delays in treatment, and supports compliance with regulations. Responsibilities include tracking requests, maintaining accurate records, and communicating with patients and providers. Candidates should have a high school diploma, 1-2 years of healthcare experience, and proficiency in EHR systems. Strong organizational and communication skills are essential for success in this position.

Qualifications

• 1-2 years of experience in healthcare administration, medical billing, or insurance authorization processes.
• Strong organizational skills and attention to detail.
• Excellent communication and interpersonal skills.

Responsibilities

• Review and process precertification requests for medical procedures.
• Communicate with healthcare providers, insurance companies, and patients.
• Track and monitor precertification request statuses.
• Collaborate with clinical and administrative teams.

Skills

Organizational skills

Communication skills

Proficiency in EHR systems

Familiarity with medical terminology

Attention to detail

Education

High school diploma or equivalent

Associate’s degree or higher preferred

Tools

Electronic Health Record (EHR) systems

Microsoft Office applications

Job description

A healthcare provider is seeking a Precert Coordinator to manage precertification and prior authorization processes. This role ensures prompt insurance approvals, minimizes delays in treatment, and supports compliance with regulations. Responsibilities include tracking requests, maintaining accurate records, and communicating with patients and providers. Candidates should have a high school diploma, 1-2 years of healthcare experience, and proficiency in EHR systems. Strong organizational and communication skills are essential for success in this position.