Precertification Specialist | Central Scheduling | Memorial Health

Memorial-Health-Ohio; Marysville (OH); On-site; USD 38,000 - 48,000; Full time

Job summary

Memorial Hospital in Marysville, OH seeks an administrative/clerical professional to handle precertification reviews for imaging, admissions, endoscopy, and related services. Positively impact timely authorizations and patient financial responsibility.

You will verify patient identity, transcribe documents, and communicate with payors and physicians. On-site schedule and 80 hours per pay suitable for an organized healthcare team.

Qualifications

• High school diploma or equivalent; data entry experience and six months in healthcare preferred; MS Word/Excel/Outlook skills preferred.
• Strong telephone and interpersonal communication abilities.
• Understanding of medical terminology and medical insurance precertification knowledge preferred.
• Excellent customer service and teamwork skills.

Responsibilities

• Reviews precertification requirements and submits for precertification for services; ensures timely processing.
• Reviews HIS authorization workqueues and verifies network status before procedures; notifies offices of out-of-network costs.
• Gathers additional clinical information from ordering providers to support precertification.
• Scans and updates patient records with authorization data and communicates with payors as needed.
• Identifies patients using three identifiers and avoids duplicate MRNs.
• Transcribes faxed documents into HIS and distributes to team members.

Skills

Precertification processes

Medical terminology

Interpersonal communication

Customer service

Teamwork

Education

High school diploma or equivalent

Tools

Microsoft Word

Excel

Outlook

Job description

Job Category: Administrative/Clerical

Requisition Number: PRECE005178

• Posted : October 22, 2026
• Full-Time
• On-site

Locations

Showing 1 location

Memorial Hospital
Marysville, OH 43040, USA

Description

What you'll do:

• Reviews precertification requirements and submits for precertification for the following services; Advanced Imaging, Elective Inpatient Admissions, Endoscopy, Multipurpose Cath Lab, Non-Invasive Cardiovascular Lab, Sleep Studies, and Surgical services.Reviews applicable Hospital Information System (HIS) authorization workqueues daily to ensure testing/procedures requiring precertification is reviewed and completed timely.
• Reviews HIS reports for surgical case creation to proactively validate insurance network status before the case is scheduled. Notifies surgeon’s offices of out-of-network insurance, advising the patient’s financial responsibility will be increased. Completes timely submission of precertification if required by the patient’s insurance plan(s) via online payor websites, fax or phone. Ensures precertification is submitted for the correct patient class and intended CPT / procedure codes.
• Reviews the patient’s medical record for additional clinical information to support the precertification request. If not documented in the HIS, requests additional clinical information from the ordering provider office in order to complete the precertification process.
• Scans all precertification determinations to the patient’s medical record and updates the referral record accordingly with authorization status, communications, approved/pending authorization numbers, call reference numbers and approval dates.Communicates insurance precertification peer-to-peer options to the ordering provider’s office, if made available by the payor.
• Correctly identifies patients by verification of three primary identifiers. Avoids duplicate medical record number (MRN) creation and reports duplicate MRNs when discovered.
• Reviews and transcribes faxed documents into the HIS accordingly. Distributes faxed documentation as necessary to team members.

Requirements

High school diploma or equivalent; personal computer/data entry experience preferred; six months working in the healthcare environment preferred; experience with Microsoft Word, Excel and Outlook preferred; strong telephone and interpersonal communication skills; teambuilding skills; understanding of medical terminology, medical insurance precertification knowledge preferred; excellent customer service skills.

Shift

1st

Hours
80 hours per pay

Location:

• Approx. 25 minutes away from Dublin, OH
• Approx. 30 minutes away from Hillard, OH
• Approx. 30 minutes away from Delaware, OH
• Approx. 30 minutes away from Powell, OH

It is our commitment to inclusivity and diversity and our ongoing determination to provide a welcoming and inclusive environment for all staff and guests of the Hospital, regardless of age, color, disability, gender, gender expression or gender identity, genetic information, national origin, race, religion, sexual orientation, or veteran status. For any questions or needed accommodations, please contact Memorial Health Human Resources at 937.578.2701.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.