Remote Precertification Specialist I Healthcare Support

Innovative Care Management, Inc.; Oregon; Remote; USD 30,000 - 36,000; Full time

Job summary

Innovative Care Management, Inc. is seeking a PrecCertification Specialist I (Customer Service Specialist) to be the primary telephone contact for physician offices, hospitals, patients, and other callers seeking precertification assistance.

In this role you will help callers understand status, route to the right resources, document information, and ensure follow-up needs reach the appropriate team members.

Qualifications

• At least one year of experience in a call center, contact center, or other telephone-based customer service role.
• Strong communication and active-listening skills, with the ability to remain patient, professional, and empathetic during challenging conversations.
• Comfort handling a steady volume of calls while navigating multiple computer systems and documenting information accurately.
• Strong attention to detail and the ability to follow established processes and procedures.
• Good judgment and the ability to recognize when a question should be referred or escalated.

Responsibilities

• Answer a high volume of inbound calls from physician offices, hospitals, patients, and other callers with professionalism, empathy, and excellent customer service.
• Remain available in assigned phone and voicemail queues throughout scheduled working hours, excluding approved breaks, meal periods, and other authorized activities.
• Listen actively, clarify the purpose of each call, and provide accurate information within established precertification procedures and the scope of the role.
• Communicate precertification status information and approval numbers when available and approved for release.
• Verify precertification requirements and identify requests that need additional processing or entry by another team member.
• Route incoming calls, callback requests, messages, and precertification-related needs promptly to the appropriate team or resource.

Skills

Call center experience

Customer service

Communication

Active listening

Documentation

Remote work

Education

High school diploma or GED

Job description

Innovative Care Management, Inc. is seeking a PrecCertification Specialist I (Customer Service Specialist) to be the primary telephone contact for physician offices, hospitals, patients, and other callers seeking precertification assistance.

In this role you will help callers understand status, route to the right resources, document information, and ensure follow-up needs reach the appropriate team members.