PRECERTIFICATION SPECIALIST

FIRST UROLOGY P S C•Jeffersonville, IN

2d•Onsite

About The Position

The Precertification Specialist verifies patients’ insurance benefits and obtains pre-authorization for medical services and procedures to help 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 details, and informs patients about coverage and financial responsibilities. The position requires strong communication and customer service skills, attention to detail, basic computer skills, and the ability to manage high volumes of work and meet deadlines. It is a full-time, non-exempt, in-office day-shift position based in Jeffersonville, Indiana, scheduled Monday through Friday, and reports to the Precertification Manager.

Requirements

High school diploma or equivalent.
Strong communication and customer service skills.
Attention to detail and basic computer skills.
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.
Experience with electronic medical records software and electronic health records (EHR).
Knowledge of medical terminology.

Responsibilities

Verify patient eligibility and insurance benefits for scheduled procedures with insurance carriers, including Medicare, Medicaid, and commercial insurers.
Obtain prior authorization from insurance companies for medical services, prescriptions, and treatments.
Collect medical documentation from referring physicians and clinical staff to support authorization requests.
Coordinate communication among 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, resolve problems, and address issues that arise during the process.
Explain insurance coverage, authorization status, and potential 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 accidental death and dismemberment insurance 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.
Access to a cabin or condominium for vacations.
Opportunities for professional development.
Competitive compensation and a healthy work-life balance.