Behavioral Health Precertification Specialist

Job Summary

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

Key Responsibilities

• Processes precertification requests for behavioral health services in compliance with guidelines
• Verifies member eligibility and provider participation status using multiple database systems
• Enters data into computer systems and approves services as 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; behavioral health experience is a plus
• Coding knowledge recommended