Remote Precertification Specialist I

Innovative Care Management, Inc.; Portland (OR); Remote; USD 42,000 - 64,000; Full time

Job summary

Innovative Care Management, Inc. is seeking a Prec Certification Specialist I (Customer Service Specialist) to serve as the primary phone contact for physician offices, hospitals, patients, and other callers seeking precertification support.

This remote role emphasizes clear communication, organization, and professionalism in handling sensitive conversations. The position requires residency in Oregon and offers a Monday–Friday schedule with Pacific Time shifts.

Qualifications

• Minimum one year of experience in a call center or telephone-based customer service.
• Excellent communication and active-listening skills, with patience and empathy.
• Ability to handle multiple systems and document information accurately.
• Strong attention to detail and adherence to procedures.
• Good judgment to refer or escalate when needed.
• Reliable remote worker, with predictable hours and quiet workspace.

Responsibilities

• Handle high volume inbound calls with professionalism and empathy.
• Maintain availability during scheduled hours, excluding breaks.
• Clarify caller needs and provide accurate information per protocols.
• Share precertification status and approval numbers when available.
• Verify requirements and route requests to appropriate teams.
• Refer benefit inquiries to the claims administrator.
• Escalate complex or out-of-scope questions appropriately.
• Document interactions and follow-up steps in approved systems.
• Communicate caller information clearly to teammates to prevent delays.
• Maintain patient privacy per HIPAA and company policy.
• Complete outbound calls and other phone-based duties as needed.

Skills

Active listening

Empathetic communication

Professionalism

Remote work

Multitasking

Documentation

HIPAA privacy

Time management

Detail-oriented

Problem solving

Telephone etiquette

Bilingual communication

Education

High school diploma or GED

Job description

Innovative Care Management, Inc. is seeking a Prec Certification Specialist I (Customer Service Specialist) to serve as the primary phone contact for physician offices, hospitals, patients, and other callers seeking precertification support.

This remote role emphasizes clear communication, organization, and professionalism in handling sensitive conversations. The position requires residency in Oregon and offers a Monday–Friday schedule with Pacific Time shifts.