Remote Precertification Specialist I: Healthcare Support

Innovative Care Management, Inc.; United States; Remote; USD 42.000 - 62.000; Vollzeit

Zusammenfassung

Innovative Care Management, Inc. is seeking a Prec ertification Specialist I to serve as a primary contact for physician offices, hospitals, and patients regarding precertification services. This remote role requires a quiet workspace and reliable internet, with a schedule Monday–Friday and Pacific Time shifts.

The role emphasizes customer service, accurate documentation, and timely routing of requests to appropriate teams while maintaining patient privacy and HIPAA compliance.

Qualifikationen

• One year of experience in call center or telephone-based customer service.
• Clear communication and empathy during challenging conversations.
• Ability to document information accurately across multiple systems.

Aufgaben

• Answer a high volume of inbound calls with professionalism and empathy.
• Remain available in phone/voicemail queues during scheduled hours.
• Listen actively, clarify purposes, and provide accurate information.
• Communicate precertification status and release numbers when available.
• Verify precertification requirements and route requests to the right team.
• Refer benefit-related inquiries to the claims administrator.
• Transfer or escalate when appropriate.
• Handle difficult conversations calmly and guide next steps.
• Document call details and follow-up needs in approved systems.
• Protect patient privacy and HIPAA compliance.

Kenntnisse

Communication skills

Active listening

Empathy

Documentation

Remote work

Ausbildung

High school diploma or GED

Jobbeschreibung

Innovative Care Management, Inc. is seeking a Prec ertification Specialist I to serve as a primary contact for physician offices, hospitals, and patients regarding precertification services. This remote role requires a quiet workspace and reliable internet, with a schedule Monday–Friday and Pacific Time shifts.

The role emphasizes customer service, accurate documentation, and timely routing of requests to appropriate teams while maintaining patient privacy and HIPAA compliance.