Precertification Specialist

NEUROMONITORING ASSOCIATES LLC

5d

About The Position

As a Precertification Specialist you will play a crucial role in ensuring the accurate and timely precertification of medical procedures and services. This position is pivotal in maintaining seamless patient care and operational efficiency. You will utilize your attention to detail, strong communication skills, and ability to navigate payer requirements to contribute to our commitment to delivering exceptional healthcare services.

Requirements

• High School Diploma or equivalent.
• 2 years’ Insurance Verification experience required.
• Strong organizational skills with the ability to prioritize tasks effectively in a fast-paced environment.
• Excellent written and verbal communication skills.
• Ability to work independently and as part of a team.
• Ability to interpret an Explanation of Benefits and take additional necessary steps toward payment.
• Familiarity with Microsoft applications and database software.
• Attention to detail and accuracy in data entry and documentation.
• Proficient in utilizing available tools and equipment to complete tasks efficiently.
• Capable of working independently with minimal supervision.

Nice To Haves

• Bachelor’s degree preferred
• Out of Network experience preferred.

Responsibilities

• Accurately enter payer information into multiple databases and follow established procedures for distributing information for further review.
• Follow up with carriers to obtain precertification numbers and file completed requests according to established procedures.
• Continuously monitor schedules to ensure the most current data is maintained.
• Verify benefits for each case and document accounts appropriately, especially for workers' compensation and motor vehicle accident cases.
• Obtain precertification for each case and ensure that all necessary documentation is promptly uploaded to patient files.
• Document all pertinent information and communications in the designated database system.

What This Job Offers

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