RP PC: Clinic Pre-cert Representative

Willis Knighton Health; Louisiana (MO); Vor Ort; USD 36.000 - 48.000; Vollzeit

Zusammenfassung

WK Bossier is seeking a Pre-Certification Representative for a full-time, day shift in Shreveport, LA. The role focuses on completing prior authorizations for hospital and OB/GYN procedures, and following up with insurance companies as needed.

You will also assist with daily closing tasks and back up the front desk, ensuring smooth clinic operations. Excellent communication with insurers, patients, doctors, and nurses is essential.

Qualifikationen

• Excellent communication skills with patients and insurers.
• Prior authorizations experience preferred in hospital/outpatient settings.
• Experience with medical terminology is preferred.

Aufgaben

• Process prior authorizations for hospital and outpatient procedures.
• Follow up with insurance companies on denials or refunds.
• Assist with end-of-day closing and back up the front desk.
• Coordinate with doctors, nurses, and the hospital's pre-certification department.

Kenntnisse

Communication skills

Prior authorizations

Medical terminology

Insurance follow-up

Jobbeschreibung

WK Bossier

Shreveport, LA

Newly Created Position

Full-Time, Day

Posted 08/04/2026

Req # 7559

• Satellite Clinics


• SC-WK Women's Health Associates

Our clinic is searching for a qualified candidate to be a Pre-Certification Representative. Prior experience is preferred as they will be responsible for completing prior authorizations for hospital and outpatient procedures as well as office procedures in a busy ob/gyn office. This will include follow-up with insurance companies in the event denials or refund requests are sent. This person will also assist with the end-of-day closing procedures for the clinic and assist with backing up the front desk. Excellent communication skills are imperative as they will be speaking with insurance companies and patients to ensure we have all necessary information prior to procedures. They will be responsible for communicating with the doctors and nurses throughout the process as well as coordinating with the hospital's pre-certification department. Computer skills are necessary for this job as it is required for information to be scanned and submitted in a timely manner. Medical terminology and/or prior experience in prior authorizations is preferred.