Precertification & Insurance Authorization Specialist

NewYork-Presbyterian; Northern, New York (KY, NY); Hybrid; USD 36,000 - 48,000; Full time

Job summary

NewYork-Presbyterian is seeking a Precertification Specialist for the Central Billing Office. The role involves verifying insurance coverage and obtaining authorizations to ensure timely processing of precertification requests.

You will document in the EHR and follow payer guidelines to minimize denials and support revenue cycle health. The ideal candidate has a high school diploma (bachelor's preferred), at least one year of related experience, and strong communication and organizational

Qualifications

• High School diploma or GED required.
• Bachelor degree preferred.
• One year of related experience.
• Familiar with insurance verification and precertification processes.
• Experience with EHR, MS Office, and medical terminology is a plus.

Responsibilities

• Verify insurance coverage and precertification requirements for services.
• Obtain necessary authorizations via phone, internet, or fax.
• Document and process in the EHR system; ensure accuracy and compliance.
• Support a smooth revenue cycle and minimize claim denials.

Skills

Insurance verification

Precertification

EHR

Microsoft Office

Communication

Time management

Education

High School diploma or GED

Bachelor degree preferred

Tools

EHR (Electronic Health Record)

Excel

Word

Job description

NewYork-Presbyterian is seeking a Precertification Specialist for the Central Billing Office. The role involves verifying insurance coverage and obtaining authorizations to ensure timely processing of precertification requests.

You will document in the EHR and follow payer guidelines to minimize denials and support revenue cycle health. The ideal candidate has a high school diploma (bachelor's preferred), at least one year of related experience, and strong communication and organizational