Surgical Precertification Specialist - Fast Approvals

Semmes Murphey Clinic; Memphis (TN); On-site; USD 40,000 - 52,000; Full time

Job summary

Semmes Murphey Clinic is hiring a precertification specialist to coordinate surgery pre-certifications and ensure timely authorization for procedures. You will work with clinical staff to maintain continuity of quality patient care.

The role requires a high school diploma and 2 years in medical registration/precertification or medical insurance. Proficiency in EMR and MS Office is preferred, with strong communication and confidentiality skills.

Qualifications

• Familiar with insurance requirements and medical procedure codes.
• Strong communication skills for coordinating with patients, staff, and insurers.
• Proficient with EMR systems and Microsoft Office suite.

Responsibilities

• Develop relationships with insurance companies, physicians and staff.
• Determine need for precertification and coordinate information flow.
• Obtain and complete all precertifications and authorizations for procedures.
• Collaborate with precertification and radiology teams on authorizations.
• Maintain accurate precertification documentation in patient charts.
• Maintain regular attendance to perform duties.

Skills

Insurance knowledge

Medical terminology

EMR proficiency

Microsoft Office

Communication skills

Customer service

Education

High school diploma or equivalent

Job description

Semmes Murphey Clinic is hiring a precertification specialist to coordinate surgery pre-certifications and ensure timely authorization for procedures. You will work with clinical staff to maintain continuity of quality patient care.

The role requires a high school diploma and 2 years in medical registration/precertification or medical insurance. Proficiency in EMR and MS Office is preferred, with strong communication and confidentiality skills.