Surgical Pre-Certification & Insurance Coordinator

Campbell Clinic Pc; Cookeville (TN); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

HRA Option

Flexible Spending Account

Basic Life Insurance

Voluntary Life Insurance

Long-Term Disability

Voluntary Short-Term Disability

Critical Illness Insurance

401(k) Matching

Profit Sharing

Employee Assistance Program

Paid Time Off

Personal Time

Paid Holidays

Job summary

Campbell Clinic is seeking a Pre-Certification Specialist to manage surgery pre-authorizations and related billing tasks in Cookeville, TN. You will verify insurance, collect patient information, and enter data into the scheduling and billing systems.

The role requires a high school diploma, prior healthcare billing experience, and basic computer skills. You will collaborate with clinicians and payors to ensure timely pre-certifications and accurate patient billing.

Qualifications

• High School Diploma or GED required.
• Prior healthcare billing experience required.
• Basic computer skills and data entry ability.

Responsibilities

• Verify and update insurance information and demographics.
• Pre-certify surgeries and review insurance eligibility.
• Enter authorization information into Athena.
• Communicate with payors and patients regarding pre-certifications.
• Maintain accurate scheduling records and patient billing details.
• Follow up on aging accounts and report trends.

Skills

Healthcare billing experience

Data entry

Basic computer skills

Education

High School Diploma or GED

Tools

Athena

Job description

Campbell Clinic is seeking a Pre-Certification Specialist to manage surgery pre-authorizations and related billing tasks in Cookeville, TN. You will verify insurance, collect patient information, and enter data into the scheduling and billing systems.

The role requires a high school diploma, prior healthcare billing experience, and basic computer skills. You will collaborate with clinicians and payors to ensure timely pre-certifications and accurate patient billing.