Pre-Certification Specialist

A company is looking for a Pre-Certification Representative responsible for obtaining and providing accurate data input for precertification/preauthorization from insurance companies. Key Responsibilities Obtain pre-certification for services by effectively communicating with insurance companies Verify medical insurance information and maintain confidentiality of patient data Review claim denials and accurately enter patient data into the computer system Required Qualifications High School diploma or equivalent required Minimum of 2-3 years of healthcare or physician's office experience in handling pre-authorizations Extensive knowledge of individual payor websites and medical terminology Proficiency with MS Office, including basic Excel skills Experience with GE Centricity or EPIC PB preferred

Feb 11, 2025 - 16:57

A company is looking for a Pre-Certification Representative responsible for obtaining and providing accurate data input for precertification/preauthorization from insurance companies. Key Responsibilities Obtain pre-certification for services by effectively communicating with insurance companies Verify medical insurance information and maintain confidentiality of patient data Review claim denials and accurately enter patient data into the computer system Required Qualifications High School diploma or equivalent required Minimum of 2-3 years of healthcare or physician's office experience in handling pre-authorizations Extensive knowledge of individual payor websites and medical terminology Proficiency with MS Office, including basic Excel skills Experience with GE Centricity or EPIC PB preferred