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Located at the CIS Corporate Office and reports to the Business Services Manager. Responsible for supervising and directing the Pre-certification Clerks. Oversees daily department operations and ensures the efficiency of pre-certification processes. Performs pre-certifications for diagnostic testing and procedures when needed. Serves as a key communicator between CIS, insurance companies, diagnostic departments, and patients. Assists in training staff and developing workflows and documentation. Supports special projects and ensures alignment with CIS's mission and goals.