Precertification Specialist

Job Summary

A company is looking for a Precertification Specialist who will manage precertification requests and provide customer service.

Key Responsibilities

• Handle high volumes of inbound calls from healthcare providers and patients while ensuring excellent customer service
• Accurately enter and review non-clinical and structured clinical data into the system database
• Maintain patient confidentiality in compliance with HIPAA regulations and manage documentation workflows

Required Qualifications, Training, and Education

• 1 to 2 years of experience in a medical office, precertification, or healthcare support role
• Strong knowledge of medical terminology and understanding of diagnosis and procedure codes
• High School Diploma or GED is required
• Ability to work effectively in a remote environment with minimal supervision
• Proficient in Microsoft Office Suite and able to learn internal systems