Behavioral Health Pre-Certification Specialist

Job Summary

A company is looking for a Pre-Certification Specialist in Behavioral Health.

Key Responsibilities

• Process behavioral health precertification requests in accordance with corporate guidelines and regulations
• Verify member eligibility and provider participation status using multiple database systems
• Enter data accurately in the computer system and approve services per departmental guidelines

Required Qualifications, Training, and Education

• Bachelor's degree preferred, but not required
• Previous experience in social work or a related field recommended
• Previous customer service experience is required
• Previous medical insurance experience is highly recommended, with behavioral health experience a plus
• Coding knowledge recommended