Surgical Precertification & Authorization Specialist

Cataract & Laser Institute; Wabash (IN); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Competitive compensation

Medical, dental, and vision insurance

401(k) with company match

Paid time off and paid holidays

Company-paid life insurance

Supportive and team-focused work envt.

Opportunities to develop knowledge and

Job summary

Cataract & Laser Institute is seeking a detail-oriented Precertification Specialist to join our team. You will coordinate insurance precertifications and authorizations to help patients access surgical care timely, working with patients, providers, and insurance companies.

You will verify eligibility, benefits, and financial responsibilities, review procedures for payer requirements, and maintain accurate documentation in the EMR. A supportive, team-focused environment awaits.

Qualifications

• High school diploma or equivalent required; associate degree in healthcare administration or related field preferred.
• Experience with insurance verification, precertifications, prior authorizations, or healthcare administration preferred.
• Knowledge of CPT codes and ICD-10 codes preferred.
• Strong attention to detail and a commitment to accurate documentation.
• Excellent organizational, time-management, and problem-solving skills.
• Ability to prioritize multiple requests and meet deadlines in a fast-paced environment.
• Strong written and verbal communication skills.
• Proficiency with EMR, Microsoft Office, and related systems.
• Ability to work independently while contributing to a collaborative team environment.

Responsibilities

• Obtain precertifications and prior authorizations for surgical procedures.
• Verify insurance eligibility, benefits, coverage requirements, and financial responsibility.
• Review scheduled procedures and clinical documentation to meet payer requirements.
• Submit accurate authorization requests with medical records and supporting documentation.
• Communicate with insurance companies regarding status, requests, denials, and appeals.
• Coordinate with surgeons, schedulers, clinic teams, billing staff, and patients to resolve coverage concerns.
• Maintain documentation within EMR and applicable systems.
• Monitor pending authorizations, expiration dates, and renewal requirements.
• Assist with resolving denied or delayed authorization requests.
• Stay informed of payer guidelines and regulatory changes.
• Protect patient confidentiality and HIPAA compliance.
• Provide professional, compassionate service to patients and internal teams.

Skills

Attention to detail

Organizational Skills

Communication skills

Independent working

Team collaboration

Time management

Education

High school diploma or equivalent

Associate degree in healthcare administration or related field preferred

Tools

Electronic medical records (EMR)

Microsoft Office

Job description

Cataract & Laser Institute is seeking a detail-oriented Precertification Specialist to join our team. You will coordinate insurance precertifications and authorizations to help patients access surgical care timely, working with patients, providers, and insurance companies.

You will verify eligibility, benefits, and financial responsibilities, review procedures for payer requirements, and maintain accurate documentation in the EMR. A supportive, team-focused environment awaits.