Precertification Representative

Orthopedic Health of Kansas City • Kansas City, KS

1d • Onsite

About The Position

We are seeking a detail-oriented and customer-focused Precertification Representative to join our team in Kansas City, MO. The ideal candidate will be responsible for obtaining prior authorizations and precertifications from insurance companies to ensure timely and accurate processing of medical services.

Requirements

• High school diploma or equivalent
• Strong communication and interpersonal skills.
• Ability to work independently and manage multiple tasks efficiently.
• Proficient in using computer systems and software related to healthcare administration.
• Detail-oriented with strong organizational skills.

Nice To Haves

• Associate degree preferred.
• Previous experience in medical billing, insurance verification, or precertification is a plus.

Responsibilities

• Contact insurance companies to obtain precertifications and prior authorizations for medical procedures and services.
• Verify patient insurance coverage and eligibility.
• Communicate with healthcare providers, patients, and insurance representatives to gather necessary information.
• Maintain accurate records of all precertification requests and approvals.
• Follow up on pending authorizations to ensure timely completion.
• Assist in resolving any issues related to insurance denials or delays.
• Stay updated on insurance policies, procedures, and requirements.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED