Precertification Specialist: Boost Revenue & Care (On-Site)

NewYork-Presbyterian Hospital; New York (NY); On-site; USD 37,000 - 48,000; Full time

Job summary

NewYork-Presbyterian Hospital seeks a Precertification Specialist for the Central Billing Office in New York, NY. Day shift performs verification of coverage, secures authorizations, and updates the EHR to ensure compliant claims processing.

The role emphasizes accuracy in precertification, strong communication, and collaboration with care teams to support revenue cycle and patient satisfaction.

Qualifications

• High School diploma or GED required.
• One year of related experience.
• Knowledge of insurance verification and precertification; familiarity with EHR and medical terminology preferred.
• Excellent proofreading, organizational, data-entry and time-management skills with strong written and oral communication.
• Ability to foster teamwork; strong interpersonal skills.
• Proficiency in Microsoft Office programs (Outlook, Word, Excel).
• Analytical thinking, problem identification, and considering alternatives.
• Notify supervisor of authorization issues to de-escalate conflicts.
• Ability to work independently within established protocols; maintain honesty, reliability and confidentiality.

Responsibilities

• Process pre-certification requests and verify insurance coverage.
• Obtain necessary authorizations via internet, telephone or fax.
• Document in the EHR system and ensure payer requirements are met.
• Support a smooth revenue cycle by minimizing claim denials and boosting patient satisfaction.

Skills

Insurance verification

Precertification

Communication skills

Data entry

Time management

Analytical thinking

Teamwork

Independence

Medical terminology

Education

High School diploma or GED

Bachelor degree

Tools

Microsoft Office (Outlook, Word, Excel)

Job description

NewYork-Presbyterian Hospital seeks a Precertification Specialist for the Central Billing Office in New York, NY. Day shift performs verification of coverage, secures authorizations, and updates the EHR to ensure compliant claims processing.

The role emphasizes accuracy in precertification, strong communication, and collaboration with care teams to support revenue cycle and patient satisfaction.