Remote Precertification Specialist Insurance Auths

Mercy-Health-System-Corporation; Rockford (IL); Remote; USD 2.342.000 - 3.853.000; Vollzeit

Benefits dieser Stelle

Medical, Dental, Vision

Life & Disability Insurance

FSA/HSA Options

Paid time off

Parental and caregiver leave

Tuition and certification reimburse

Well-being programs

Employee discounts

Career advancement opportunities

Zusammenfassung

Mercyhealth is seeking a Remote Pre-Certification Specialist to identify patients needing pre-certification or pre-determination. The role verifies insurance benefits, gathers clinical documentation, and secures authorizations to ensure procedures are approved before service dates.

Candidates should have strong communication, organizational, and problem-solving skills, with the ability to work independently and mentor others.

Qualifikationen

• High school diploma or equivalent preferred.
• One year of pre-certifications, medical billing, registration, healthcare experience, or related education preferred.

Aufgaben

• Identify patients requiring pre-certification or pre-determination across systems.
• Obtain necessary clinical documentation and contact insurers to secure approvals.
• Communicate with Mercy Partners and Patient Financial Counselors regarding outcomes.
• Maintain current knowledge of ICD-9/ICD-10 and CPT coding requirements.
• Provide training and mentoring as needed.

Kenntnisse

Communication

Organizational skills

Problem solving

Stress management

Independent work

Mentoring/training

Ausbildung

High school diploma or equivalent

Tools

Epic preferred

Jobbeschreibung

Mercyhealth is seeking a Remote Pre-Certification Specialist to identify patients needing pre-certification or pre-determination. The role verifies insurance benefits, gathers clinical documentation, and secures authorizations to ensure procedures are approved before service dates.

Candidates should have strong communication, organizational, and problem-solving skills, with the ability to work independently and mentor others.