Pre-certification Specialist

2 weeks ago


Augusta, United States Augusta Pain Consultants PC Full time
Job DescriptionJob Description

Company Overview: Join our dynamic and compassionate pain management practice, dedicated to providing exceptional patient care and improving lives. We are seeking a highly organized and detail-oriented Pre-Certification Specialist to join our busy team. If you are passionate about streamlining processes, ensuring insurance pre-authorizations, and contributing to the overall success of a thriving medical practice, we want to hear from you

Position Overview: As a Pre-Certification Specialist, you will play a crucial role in obtaining insurance pre-authorizations for medical procedures and services, contributing to the seamless functioning of our pain management practice. The ideal candidate is proficient in navigating insurance procedures, possesses excellent communication skills, and thrives in a fast-paced environment.

Responsibilities:

  • Collaborate with healthcare providers to gather necessary information for insurance pre-authorization.
  • Verify patient insurance coverage and eligibility for pain management services.
  • Prepare and submit accurate and timely pre-authorization requests to insurance companies.
  • Communicate with insurance representatives to ensure timely approvals and resolve any issues that may arise.
  • Maintain detailed records of all pre-authorization activities and documentation.

Qualifications:

  • Previous experience in medical insurance pre-certification or related field preferred.
  • Strong organizational skills and attention to detail.
  • Excellent communication and interpersonal skills.
  • Ability to work efficiently in a high-pressure, fast-paced environment.

Benefits:

  • Competitive salary based on experience.
  • Comprehensive medical, vision, and dental insurance coverage.
  • 401k retirement plan with employer contribution.
  • Optional Life insurance coverage.
  • PTO (Paid Time Off) policy.
  • Paid holidays.


  • Augusta, United States Augusta Pain Consultants PC Full time

    Job Description Job Description Company Overview: Join our dynamic and compassionate pain management practice, dedicated to providing exceptional patient care and improving lives. We are seeking a highly organized and detail-oriented Pre-Certification Specialist to join our busy team. If you are passionate about streamlining processes, ensuring insurance...


  • Augusta, United States Motivational Services, Inc. Full time

    Motivational Services Inc. (MoCo) defines “Peer” as a person who has personally experienced challenges maintaining mental health, which may include recovery from substance use and/or life challenges. A Peer Support Specialist is willing to self-identify on that basis and effectively shares about their personal lived experience in a way that fosters a...


  • Augusta, United States Navcarenet Full time

    ** Enrollment Support Specialist** **Job Category****:** Chronic Care Management **Requisition Number****:** ENROL002536 Showing 1 location **Job Details** **Description** As an Enrollment Support Specialist you will engage with prospective clients telephonically to discuss Chronic Care Management services and confirm consent of those services. Your role...


  • Augusta, United States Network Designs Inc. Full time

    Job DescriptionJob DescriptionJob Description:Network Designs, Inc. is currently seeking a Help Desk Specialist to provide exceptional customer support and leadership within our IT department. This pivotal role involves phone and in-person support to users across a range of issues including email, directories, standard Windows desktop applications, and...


  • Augusta, United States The Judge Group Full time

    Description: Safety, Health, Environmental, Quality Specialist (SHEQ)Location: Augusta, METype of Employment: Fulltime-ContractClient: Energy/Power IndustryRole & Responsibilities:SHEQ Specialist "Review the SHEQ Plans for adherence to our Contractor Safety Program within the Project Management Plan.Responsible for field inspections and controls, Quality...


  • Augusta, United States The Judge Group Full time

    Description: Safety, Health, Environmental, Quality Specialist (SHEQ)Location: Augusta, METype of Employment: Fulltime-ContractClient: Energy/Power IndustryRole & Responsibilities:SHEQ Specialist "Review the SHEQ Plans for adherence to our Contractor Safety Program within the Project Management Plan.Responsible for field inspections and controls, Quality...


  • Augusta, United States PTAG Inc. Full time

    PTAG is a Project Management Advisory & Services firm, which is recognized in the industry by Project & Construction Management Industry think-tanks, innovative service delivery partners and world leading industrial clients. We are looking for a Expeditor (Materials Specialist) to help us expand our presence with our clients in the Power Industry. We seek...


  • Augusta, United States PTAG Inc. Full time

    PTAG is a Project Management Advisory & Services firm, which is recognized in the industry by Project & Construction Management Industry think-tanks, innovative service delivery partners and world leading industrial clients. We are looking for a Expeditor (Materials Specialist) to help us expand our presence with our clients in the Power Industry. We seek...

  • Medical Doctor

    2 weeks ago


    Augusta, United States International Staff Consulting Full time

    Job Description: Performs medical assessments of Center patients.Establishes and monitors a medically appropriate level of care for patients. Maintain clinical core competency. Work with Chief Medical Officer and Regional Medical Directors to ensure operations are consistent with medical policy and professional standards of the Centers. Collaboration with...

  • Medical Doctor

    4 weeks ago


    Augusta, United States Lincoln Search Consultants Inc Full time

    Job Description: Performs medical assessments of Center patients. Establishes and monitors a medically appropriate level of care for patients. Maintain clinical core competency. Work with Chief Medical Officer and Regional Medical Directors to ensure operations are consistent with medical policy and professional standards of the Centers. Collaboration with...

  • Medical Doctor

    2 weeks ago


    Augusta, United States International Staffing Consultants, Inc. Full time

    Job Description: Performs medical assessments of Center patients.Establishes and monitors a medically appropriate level of care for patients. Maintain clinical core competency. Work with Chief Medical Officer and Regional Medical Directors to ensure operations are consistent with medical policy and professional standards of the Centers. Collaboration with...

  • Medical Doctor

    2 weeks ago


    Augusta, United States Crescent City Recruitment Group Full time

    Job Description: Performs medical assessments of Center patients. Establishes and monitors a medically appropriate level of care for patients. Maintain clinical core competency. Work with Chief Medical Officer and Regional Medical Directors to ensure operations are consistent with medical policy and professional standards of the Centers. Collaboration with...


  • Augusta, United States Benchmark Human Services Full time

    Sign-On Bonus: n/a Description: If you’re looking for a rewarding job helping people with disabilities become more independent and involved in their community, then Benchmark is the place for you! We are seeking a Behavior Specialist or Board-Certified Behavior Analyst (BCBA) to provide behavior supports to individuals and staff working in the...


  • Augusta, United States The One 23 Group Full time

    Job DescriptionJob DescriptionDescription:At The One 23 Group, our mission is to set the benchmark for excellence in government services. We empower our clients in the Department of Defense, Intelligence Community, and Federal Civilian sectors to excel with our advanced capabilities. Our dedication lies in fostering a people-first culture, underpinned by...

  • OB Hospitalist

    1 week ago


    Augusta, United States MPLT Healthcare Full time

    OB Hospitalist Location: Augusta, GA MPLT Healthcare is looking for physicians who Understand the Urgency, Never Give Up, and Have the Courage to Excel in the forever changing medical industry! We have numerous opportunities for an experienced OB Hospitalist with highly competitive pay rates in Augusta, GA. Position Details: Board Certified OB/GYN -...


  • Augusta, United States AngleZ Behavioral Health Services Full time

    Are you looking to join a dynamic, supportive team with the common goal of supporting children with special needs? Are you looking for an employer that offers flexibility and a hydride work environment? If so Children's Care Coordinator at AngleZ Behavioral Health Services is the perfect job for you! A Children’s Care Coordinator responsibilities for...


  • Augusta, United States Piedmont HealthCare Full time

    Description: RESPONSIBLE FOR: Performs a range of duties to include but not limited to patient registration, ordering tests, specimen procurement and specimen processing. Qualifications: MINIMUM EDUCATION REQUIRED: High School diploma or GED required. MINIMUM EXPERIENCE REQUIRED: No experience required. MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:...


  • Augusta, United States Piedmont HealthCare Full time

    Description: RESPONSIBLE FOR: Performs a range of duties to include but not limited to patient registration, ordering tests, specimen procurement and specimen processing. Qualifications: MINIMUM EDUCATION REQUIRED: High School diploma or GED required. MINIMUM EXPERIENCE REQUIRED: No experience required. MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:...

  • Medical Doctor

    2 weeks ago


    Augusta, ME, United States Joseph Michaels International Full time

    Job Description: Performs medical assessments of Center patients. Establishes and monitors a medically appropriate level of care for patients. Maintain clinical core competency. Work with Chief Medical Officer and Regional Medical Directors to ensure operations are consistent with medical policy and professional standards of the Centers. Collaboration with...


  • Augusta, United States Ladgov Corporation Full time

    Job DescriptionJob DescriptionDuties:Shall identifies, assesses, and coordinates client cases; and anticipates their needs related to illness, hospitalization, finances, education, and home/community service.Serves as a liaison between military medical and behavioral health providers and community agencies.Refer to LCSW’s for higher level assessment,...