CLERICAL LEVEL IV- SLEEP LAB

South Central Regional Medical Center • Laurel, MS

1d • Onsite

About The Position

The Pre-Cert Specialist is responsible for coordinating all sleep study intake, authorization, scheduling, and patient preparation processes. This role ensures accurate documentation, insurance verification, prior authorization, patient financial responsibility coordination, and communication with providers, patients, and internal teams to support efficient sleep study operations.

Requirements

• High School Diploma or equivalent required
• 2+ years with healthcare registration, scheduling, or insurance verification preferred
• Knowledge of EMR systems such as Cerner preferred
• Strong communication and organizational skills
• Ability to manage multiple workflows simultaneously

Responsibilities

• Complete intake and review of referrals and orders for sleep studies
• Ensure required documentation is in EMR
• Verify insurance eligibility
• Create encounters and financial numbers
• Request and monitor prior authorizations
• Communicate with providers regarding denials
• Document pre-cert approvals and patient financial responsibility
• Schedule sleep studies (in-facility and HSAT)
• Notify RT for order initiation
• Complete pre-registration and admissions
• Collect or arrange for patient payments
• Provide necessary documentation to staff
• Mail reminder letters
• Provide paperwork for HSAT patients
• Monitor systems (G3, Airview) for reports
• Validate completeness of reports
• Ensure reports are uploaded to EMR
• Notify RT for order validation
• Communicate issues with providers
• Coordinate special scheduling needs
• Communicate patient needs and logistics with team members
• Provide reports when requested
• Coordinate with biller for billing compliance

What This Job Offers

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