Surgical Precertification Specialist - Patient Care Ops

Davis Eye Center; Cuyahoga Falls (OH); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

6.5 paid holidays per year

PTO after 60 days

Health insurance

Dental insurance

Vision insurance

401k

Job summary

Davis Eye Center is seeking a Surgical Services Precertification Specialist to obtain prior authorizations and verify insurance coverage for surgical procedures. You will coordinate with surgeons, schedulers, and patients to secure timely approvals.

The role emphasizes attention to detail, HIPAA compliance, and strong communication across departments in a professional medical office setting.

Qualifications

• Experience with insurance verification and prior authorizations.
• Knowledge of CPT/ICD-10 and insurance processes.
• Strong attention to detail and organization.
• Ability to prioritize multiple tasks in fast-paced settings.
• Excellent verbal and written communication; EMR and MS Office proficiency.

Responsibilities

• Obtain insurance prior authorizations for procedures.
• Verify benefits, eligibility, and coverage requirements.
• Review clinical documentation for authorization needs.
• Communicate with carriers about status and appeals.
• Coordinate with surgeons, schedulers, clinics, and patients.
• Maintain documentation in EMR and other systems.
• Monitor authorization expiration dates and renewals.
• Assist with appeals and stay updated on payer guidelines.

Skills

Insurance verification

Prior authorizations

Medical billing

Microsoft Office

HIPAA knowledge

Job description

Davis Eye Center is seeking a Surgical Services Precertification Specialist to obtain prior authorizations and verify insurance coverage for surgical procedures. You will coordinate with surgeons, schedulers, and patients to secure timely approvals.

The role emphasizes attention to detail, HIPAA compliance, and strong communication across departments in a professional medical office setting.