Precertification Specialist - UT Gastroenterology

University Physicians' Association•Knoxville, TN

2d•Onsite

About The Position

University Physicians’ Association (UPA) is seeking a detail-oriented and customer-focused Precertification Specialist to join our UT Gastroenterology team. This is a fast-paced, specialty practice located within UT Medical Center, offering the opportunity to play a key role in ensuring patients receive timely, seamless care. The Precertification Specialist serves as a vital liaison between patients, providers, and insurance companies. This role is responsible for verifying insurance benefits and eligibility, obtaining necessary authorizations, preparing procedure codes and estimates, and collecting prepayments when applicable—all with a strong focus on accuracy and patient service.

Requirements

Insurance verification experience required
Maintains a professional and polished appearance
Strong verbal communication and interpersonal skills
Working knowledge of medical billing practices and managed care environments
Familiarity with a variety of insurance plans and payer types
Highly organized, detail-oriented, and self-motivated
Proficient in Microsoft Office and Windows-based applications

Nice To Haves

Professional medical coding certification or a minimum of two years of related experience preferred

Responsibilities

Monitor scheduled procedures and maintain an organized tracking list for precertification status
Verify insurance eligibility and benefits via phone and online portals
Obtain prior authorizations according to payer requirements
Update insurance and policy details in the NextGen system
Confirm receipt of all required authorization documentation prior to procedures
Assign appropriate ICD-10 and CPT codes
Communicate effectively with clinical and administrative staff to support timely procedures
Perform additional duties as assigned to support the practice