PreCertification Specialist

2 months ago


Huntsville, Alabama, United States Rehabilitation and Neurological Service, LLC Full time
Job Title: PreCertification Specialist

At 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.
Qualifications:
  • 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.
What We Offer:
  • 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.