Pre-Certification Specialist

4 weeks ago


Tampa, Florida, United States Gracepoint Full time
Job Summary

At Gracepoint, we are seeking a highly skilled Pre-Certification Specialist to join our team. As a key member of our Provider Services & Baker Act Office, you will play a critical role in verifying funding for patients and ensuring timely precertification.

Key Responsibilities
  • Verify funding sources for new patients in Central Intake
  • Complete transfers or precertifications as indicated by the fund source
  • Maintain accurate documentation of all contacts made for authorization
  • Relay completed duties and follow-up tasks to the next shift via email
  • Follow up on incomplete tasks from the previous shift
  • Maintain effective communication with managed care staff, Central Intake, and CSU regarding funding and authorization issues
  • Respond to emails regarding funding changes or updates in a timely manner
Compliance and Customer Service Responsibilities
  • Adhere to federal, state, local, and company-maintained standards of compliance, ethics, and policies
  • Meet deadlines, requirements, and expectations established by the supervisor, agency, and department
  • Provide exceptional customer service in all interactions with staff and the general public
  • Maintain confidentiality and remain calm under stress
Requirements
  • Associate's degree from an accredited college plus five years experience in a related field, or Bachelor's degree from an accredited college or university, plus three years experience in a related field, or master's degree from an accredited college or university, plus one year experience in a related field
  • Proficient in Microsoft Word, Excel, Outlook, PowerPoint, and Avatar
Work Environment

General office, healthcare setting with client contact. Most work is completed while seated at the desk using standard office equipment. Fast-paced team approach. Multi-tasking ability requires above-average time management skills.

EOE | DRUG-FREE WORKPLACE

Shift Varies, PRN (As Needed)



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