Precertification Specialist

1 week ago

Albany NY United States Allied Digestive Health Full time
Albany Gastroenterology Consultants have partnered with Allied Digestive Health which is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and decision-making, while simultaneously offering operational support. Our dedicated, compassionate team of providers prioritize personalized treatment plans for patients that deliver the highest quality of care. All of our doctors are board-certified in gastroenterology and hepatology. Several of them serve as chief of gastroenterology at nearby hospitals, and a number of them have been recognized as top-quality physicians in publications, including but not limited to: Best Doctors in America and Top Doctors New Jersey, and US News Health - US News & World Report.

We are excited to announce that we are looking for a Full-Time Precertification Specialist at Albany Gastroenterology Consultants of Albany New York

The Precertification Specialist Responsibilities are:
  • Knowledge of participating insurances and authorization requirements.
  • Responsible for obtaining complete and accurate insurance information, benefit verification, accurately interpreting benefit plans and investigating pertinent details.
  • Ability to verify patient eligibility and precertification requirements through online resources or via telephone.
  • Effectively communicate with families; when appropriate, regarding benefit details and limitations.
  • Documents detailed communication with payors and clinical support in the authorization fields.
  • Contacts family with any insurance issues that may prevent obtaining a referral/precertification.
  • Timely management of incoming responses.
  • Provide team coverage when needed.
  • Maintain professional and courteous demeanor at all times with patients, physicians and co-workers
  • Adhere to and support all policies and procedures of Albany Gastroenterology Consultants
  • Other responsibilities as assigned


The Precertification Specialist must have the following qualifications and experience:
  • High School graduate or equivalent
  • No experience is required, 1 to 3 years of experience is preferred as follows:
  • Experience in processing prior-authorizations and referrals is preferred.
  • Understands the concept of PCP and referrals protocols as defined by Insurance Carriers


We offer a competitive base salary, generous benefits, including: Medical, Dental, Vision, Life Insurance, Voluntary, Time-Off Benefits, EAP, 401K and Commuter Benefits.

Job Type: Full-Time

  • Precertification Specialist

    4 days ago

    Albany, United States Allied Digestive Health Full time

    Albany Gastroenterology Consultants have partnered with Allied Digestive Health which is one of the largest integrated networks of gastroenterology care centers in the nation with over 200 providers and 60 locations throughout New Jersey and New York. As a fast-growing physician-led organization, our dynamic structure encourages physician input and...

  • Assessment Specialist

    1 week ago

    Highland Hills, OH, United States Lifepoint Health Full time

    Overview: Highland SpringsAssessment Specialist- Night Shift3/12 hour shifts from 7pm-7amWith rotating weekends  Highland Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our...

  • Assessment Specialist

    4 weeks ago

    , NC, United States Lifepoint Health Full time

    Lifepoint Behavioral Health seeks a dedicated Assessment Specialist - Nights to join our team in Raleigh, North Carolina. As a key member of our clinical team, you will play a vital role in providing compassionate behavioral health services to individuals in need.Key Responsibilities:Receive and respond to inquiry calls, scheduling face-to-face assessments...

  • Assessment Specialist- PRN

    3 days ago

    Oklahoma City, OK, United States Lifepoint Health Full time

    Overview: Assessment Specialist PRN Only as Needed Oakwood Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral health services,...

  • Surgery Scheduler

    3 weeks ago

    Clyde, NC, United States Haywood Regional Medical Center Full time

    Greets visitors and communicates with patients and providers.Coordinates work flow and complies records of office activities.Completes all aspects of check-in/check-out process.Enters and updates patient demographics and insurance information.Collects any copay/coinsurance balances for current visit and any outstanding balance from patients.Complete...

  • Medical Office Receptionist

    2 months ago

    Clyde, NC, United States Haywood Regional Medical Center Full time

    Greets visitors and communicates with patients and providers.Coordinates work flow and complies records of office activities.Completes all aspects of check-in/check-out process.Enters and updates patient demographics and insurance information.Collects any copay/coinsurance balances for current visit and any outstanding balance from patients.Complete...

  • Assessment Specialist RN

    3 days ago

    Richmond, TX, United States LifePoint Hospitals Full time

    Assessment Specialist RNRN ASSESSMENT SPECIALIST (First Shift) Westpark Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral...

  • Assessment Specialist

    2 weeks ago

    Dublin, OH, United States Lifepoint Health Full time

    Overview: Assessment Specialist 3 days/week (7pm-7am) Columbus Springs Dublin , part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral...

  • Specialist - medical

    1 week ago

    Oklahoma City, OK, Oklahoma County, OK; Oklahoma, United States Lifepoint Health Full time

    Assessment Specialist PRN Only as Needed Oakwood Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral health services,...

  • Carrollton Spring Assessment Specialist

    2 weeks ago

    Carrollton, TX, United States LifePoint Hospitals Full time

    Carrollton Spring Assessment Specialist - RNCarrollton Springs Assessment Specialist RN Weekends; Fri, Sat, Sun 7am-7pm Carrollton Springs is a 78 -bed behavioral hospital located in Carrollton, TX . Carrollton Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from...

  • Collin Springs Assessment Specialist

    2 weeks ago

    McKinney, TX, United States LifePoint Hospitals Full time

    Collin Springs Assessment Specialist - RNCollin Springs, McKinney, TX Assessment Specialist RN Nights Collin Springs is a 72 -bed behavioral hospital located in McKinney, TX Collin Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate,...

  • Carrollton Spring Assessment Specialist

    2 weeks ago

    Carrollton, TX, United States LifePoint Hospitals Full time

    Carrollton Spring Assessment Specialist - RNCarrollton Springs Assessment Specialist RN Weekends; Fri, Sat, Sun 7am-7pm Carrollton Springs is a 78 -bed behavioral hospital located in Carrollton, TX . Carrollton Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from...

  • Collin Springs Assessment Specialist

    2 weeks ago

    McKinney, TX, United States LifePoint Hospitals Full time

    Collin Springs Assessment Specialist - RNCollin Springs, McKinney, TX Assessment Specialist RN Nights Collin Springs is a 72 -bed behavioral hospital located in McKinney, TX Collin Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate,...

  • Assessment Specialist- PRN

    2 weeks ago

    Oklahoma City, OK, United States Lifepoint Health Full time

    Overview: Assessment Specialist PRN Only as Needed Oakwood Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral health services,...

  • Assessment Specialist

    2 weeks ago

    Raleigh, NC, United States Lifepoint Health Full time

    Overview: Triangle Springs Assessment Specialist- Night Shift Full Time- 3/12 hour shifts from 7pm to 7am With rotating weekends Triangle Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team...

  • Assessment Specialist

    5 days ago

    Carrollton, TX, United States LifePoint Hospitals Full time

    Assessment Specialist - RNWeekends; Fri, Sat, Sun 7am-7pm Carrollton Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral health...

  • Assessment Specialist

    3 days ago

    Carrollton, TX, United States LifePoint Hospitals Full time

    Assessment Specialist - RNWeekends; Fri, Sat, Sun 7am-7pm Carrollton Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral health...

  • Assessment Specialist

    2 weeks ago

    Avondale, AZ, United States Lifepoint Health Full time

    Job DescriptionOverview: Assessment SpecialistPRN  Copper Springs, operated jointly with Lifepoint Behavioral Health and Springstone, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral health services, including crisis stabilization, inpatient care, and outpatient treatment for...

  • Assessment Specialist

    5 days ago

    McKinney, TX, United States LifePoint Hospitals Full time

    Assessment Specialist - RN, Behavioral HealthFull-Time, Nights Collin Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral...

  • Assessment Specialist

    2 weeks ago

    McKinney, TX, United States LifePoint Hospitals Full time

    Assessment Specialist - RN, Behavioral HealthFull-Time, Nights Collin Springs, part of Lifepoint Behavioral Health, nationally known healthcare organization with diversified delivery network with facilities from coast to coast, seeks passionate, patient-centric, and goal-oriented team members to join our team. We specialize in compassionate behavioral...