PreCertification Specialist
2 months ago
Huntsville, Alabama, United States
Rehabilitation and Neurological Service, LLC
Full time
Job Title: PreCertification SpecialistAt Rehabilitation and Neurological Service, LLC, we are seeking a highly skilled PreCertification Specialist to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that our patients receive the necessary services and procedures by obtaining pre-certification approvals from insurance providers.
Key Responsibilities:- Obtain pre-certification approvals from insurance companies for medical procedures, services, and medications.
- Collect and review all required documentation to ensure compliance with insurance and regulatory requirements.
- Serve as a liaison between healthcare providers, insurance companies, and patients to facilitate smooth pre-certification processes.
- Track and follow up on pending pre-certification requests to ensure timely approvals.
- Accurately enter and maintain pre-certification data in the electronic health record (EHR) or other relevant systems.
- Address and resolve any issues or denials related to pre-certification requests.
- Stay informed about changes in insurance policies, procedures, and regulatory requirements to ensure compliance.
- High School Diploma or equivalent required; Associate's or Bachelor's degree in healthcare administration, business, or a related field preferred.
- Minimum of [2-3] years of experience in a healthcare or insurance setting, with a focus on pre-certification or authorization processes.
- Strong knowledge of insurance pre-certification and authorization procedures.
- Excellent communication and interpersonal skills.
- Proficiency in using electronic health records (EHR) systems and other relevant software.
- Detail-oriented with strong organizational skills.
- Ability to work independently and handle multiple tasks simultaneously.
- Competitive salary and benefits package.
- Comprehensive health, dental, and vision insurance.
- Retirement savings plan with company match.
- Opportunities for professional development and career growth.
- Supportive and collaborative work environment.