Precertification & Prior Authorization Specialist

Sgmc-Health-1; Valdosta (GA); On-site; USD 35,000 - 45,000; Full time

Job summary

SGMC Health in the Professional Building is seeking an administrative professional to obtain precertifications and prior authorizations for imaging and procedures, ensuring timely approvals before appointments. You will review documentation, upload data into the EHR, and monitor active authorizations.

The role requires excellent communication, strong computer skills, and the ability to work as part of a team in a hospital setting. This is a full-time position with a day schedule (8 hours, M-F).

Qualifications

• High school graduate preferred.
• Minimum 1 year administrative experience, preferably in a hospital or medical office.
• Knowledge of insurance and managed care is a plus.
• Proficient with Windows OS and MS Office suite.

Responsibilities

• Obtain precertification and/or prior authorization for ordered tests/procedures.
• Verify information and supporting documents for accuracy.
• Upload authorization numbers and details into the SGMC EHR system.
• Monitor and track authorization requests and expirations.
• Provide front office reception and customer service support.
• Contribute to department development and handle other duties as assigned by Practice Manager.

Skills

Computer skills

MS Office

Outlook

Excel

Communication

Education

High school diploma (or equivalent)

Tools

Medical office software

Job description

SGMC Health in the Professional Building is seeking an administrative professional to obtain precertifications and prior authorizations for imaging and procedures, ensuring timely approvals before appointments. You will review documentation, upload data into the EHR, and monitor active authorizations.

The role requires excellent communication, strong computer skills, and the ability to work as part of a team in a hospital setting. This is a full-time position with a day schedule (8 hours, M-F).