Precertification Specialist (11556)

First Urology P S C • Jeffersonville, IN

8h • Onsite

About The Position

The Precertification Specialist verifies patient insurance benefits and obtains pre-authorization for medical services and procedures to ensure coverage before services are rendered. The role verifies eligibility, gathers supporting information from physicians and clinical staff, communicates with insurance companies and other stakeholders, documents authorization activity, and informs patients about coverage and financial responsibilities. The position requires strong communication, attention to detail, and knowledge of medical terminology and insurance policies.

Requirements

• High school diploma or equivalent.
• Strong communication and customer service skills.
• Detail-oriented, with basic computer skills and experience with electronic medical records or electronic health records software.
• Ability to manage a high volume of work and meet deadlines.

Nice To Haves

• Associate degree or higher.
• Prior experience in medical billing, insurance authorization, or a similar role.
• Knowledge of medical terminology.

Responsibilities

• Confirm patient eligibility and benefits for scheduled procedures with insurance carriers, including Medicare, Medicaid, and commercial insurers.
• Obtain prior authorization from insurance companies for medical services, prescriptions, or treatments.
• Collect necessary medical documentation from referring physicians and clinical staff to support authorization requests.
• Act as a liaison between patients, physicians, insurance representatives, and facility staff.
• Enter information accurately into the practice management system and maintain records of authorizations, denials, and appeals.
• Follow up on pending authorizations and resolve problems or other issues that arise during the process.
• Explain insurance coverage, authorization status, and financial responsibilities to patients.

Benefits

• 401(k) company contribution of 7.5% of annual salary, whether or not the employee contributes.
• Dental insurance.
• Health insurance.
• Vision insurance.
• Company-paid life insurance.
• Company-paid AD&D coverage of $20,000.
• Company-paid long-term disability coverage at 60%.
• Six days of sick time.
• Eight paid holidays.
• Ten days of vacation time.
• Milestone checks.
• Cabin or condo for vacations.
• Opportunities for professional development.
• Competitive compensation and a healthy work-life balance.

What This Job Offers

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