Proactive Precertification & Scheduling Specialist

Memorial Health; Marysville (OH); On-site; USD 22,000 - 33,000; Full time

Job summary

Memorial Health in Marysville, OH is seeking an Administrative/Clerical professional to manage precertification tasks for imaging, surgeries, and related services. You will review HIS authorizations, verify patient data, and submit precertifications via online portals or phone, while maintaining accurate records.

The role emphasizes attention to detail, strong communication, and teamwork in a fast-paced healthcare environment. On-site, 1st shift, 80 hours per pay period.

Qualifications

• High school diploma or equivalent.
• Experience with data entry and healthcare environment preferred.
• Strong telephone and interpersonal communication skills; teambuilding skills.
• Understanding of medical terminology; precertification knowledge preferred.
• Proficiency with Microsoft Word, Excel and Outlook.

Responsibilities

• Reviews precertification requirements and submits for precertification for services such as imaging, inpatient admissions, endoscopy, cath lab, non-invasive labs, sleep studies, and surgical services.
• Reviews HIS authorization workqueues daily to ensure precertification is reviewed and completed timely.
• Reviews the patient’s medical record for information to support the precertification request and requests additional details if needed.
• Scans precertification determinations to the patient’s medical record and updates referral with status and numbers.
• Identifies patients by three identifiers and reports duplicates when found; transcribes faxed documents into HIS and distributes to team.
• Communicates precertification options to ordering providers when available.

Skills

Customer service

Interpersonal communication

Teambuilding

Data entry

Education

High school diploma or equivalent

Tools

Microsoft Word

Excel

Outlook

Job description

Memorial Health in Marysville, OH is seeking an Administrative/Clerical professional to manage precertification tasks for imaging, surgeries, and related services. You will review HIS authorizations, verify patient data, and submit precertifications via online portals or phone, while maintaining accurate records.

The role emphasizes attention to detail, strong communication, and teamwork in a fast-paced healthcare environment. On-site, 1st shift, 80 hours per pay period.