Precertification Specialist — Insurance Authorization Expert

First Urology P S C; Jeffersonville (IN); Vor Ort; USD 38.000 - 46.000; Vollzeit

Benefits dieser Stelle

401(k) company contribution 7.5%

Dental insurance

Health insurance

Vision

Company Paid Life insurance 20k

Company Paid AD&D 20K

Company Paid Long-Term Disability 60%

6 Days of Sick Time

8 Paid Holidays

10 Days of Vacation Time

Milestone Checks

Cabin/Condo for vacations

Zusammenfassung

First Urology in Jeffersonville, IN is seeking a detail-oriented precertification specialist to verify patient insurance benefits and obtain prior authorizations for medical services. You will liaise with physicians, patients, and insurance carriers to ensure coverage before services are rendered.

In this full-time, in-office role, you will document authorizations, follow up on denials, and communicate coverage details and responsibilities to patients, supporting a smooth patient care experience.

Qualifikationen

• High school diploma or equivalent required; associate degree a plus.
• Prior experience in medical billing, insurance authorization, or similar role preferred.
• Strong communication and customer service skills are essential.
• Detail-oriented with basic computer skills, including EMR/EHR familiarity; knowledge of medical terminology beneficial.
• Must manage high volume work and meet deadlines.

Aufgaben

• Verify insurance and benefits and confirm patient eligibility for scheduled procedures with various carriers.
• Obtain pre-authorization from insurance companies for medical services, prescriptions, or treatments.
• Gather necessary medical documentation from physicians and staff to support authorization requests.
• Communicate with patients, physicians, insurers, and facility staff to coordinate care.
• Document and manage records in the practice management system; track authorizations, denials, and appeals.
• Follow up on pending authorizations and resolve issues during the process.
• Explain insurance coverage and patient financial responsibilities to patients.

Kenntnisse

Communication

Customer service

Detail-oriented

Medical terminology

EMR/EHR software

Ausbildung

High school diploma or equivalent

Associate degree a plus

Tools

EMR/EHR software

Jobbeschreibung

First Urology in Jeffersonville, IN is seeking a detail-oriented precertification specialist to verify patient insurance benefits and obtain prior authorizations for medical services. You will liaise with physicians, patients, and insurance carriers to ensure coverage before services are rendered.

In this full-time, in-office role, you will document authorizations, follow up on denials, and communicate coverage details and responsibilities to patients, supporting a smooth patient care experience.