Precertification Specialist (47226)

CHARLOTTE EYE EAR NOSE AND THROAT ASSOCIATES PA • Charlotte, NC

1d • Hybrid

About The Position

CEENTA is the premier eye, ear, nose, and throat group in the Carolinas, committed to exceptional patient care, operational excellence, and a collaborative team environment. We are seeking a detail-oriented Precertification Specialist to support our Revenue Cycle team by verifying insurance benefits, obtaining prior authorizations, and ensuring patients are well informed prior to services.

Requirements

• High school diploma or GED required
• Minimum of 2 years of experience in a medical field
• Understanding of payer medical policies and prior authorization guidelines
• Strong attention to detail and ability to manage a high-volume, time-sensitive workload
• Excellent customer service and communication skills
• Ability to multitask, problem-solve, and work independently

Nice To Haves

• At least 1 year of precertification or prior authorization experience preferred
• Epic experience preferred but not required

Responsibilities

• Verify and confirm patient insurance benefits via online portals and phone calls
• Obtain prior authorizations and referrals as required by payer plans, with ongoing follow-up when needed
• Communicate benefit details, coverage, and expected pre-payments clearly to patients
• Communicate with provider offices and internal teams to resolve authorization and benefit issues
• Enter patient pre-payments into Epic accurately and timely
• Prioritize assigned work queues by date of service, payer, and procedural requirements
• Monitor emails, in-basket messages, voicemails, and scanned faxes daily
• Identify potential systemic or payer-related issues and escalate them to leadership as appropriate
• Monitor authorization and benefit verification work queues, contact payers, communicate with patients regarding pre-service payments, respond to emails and in-basket messages, process incoming faxes, and collaborate with provider offices to ensure all scheduled services are authorized and financially cleared prior to the date of service.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1-10 employees