Lead Pre-Certification Coordinator

Job Summary

Leading the pre-certification team in a fully remote capacity, the full-time Lead Pre-Certification Coordinator will manage daily workload, ensure efficient authorization processes for medical services, and serve as a liaison between department facilities and physician offices.

Key responsibilities

• Oversees daily activities and prioritization of assignments within the pre-certification team
• Handles billing inquiries and insurance questions while maintaining communication with physicians regarding pre-certification statuses
• Provides training and education to staff, assisting with complex cases to avoid denials and improve processes

Required qualifications

• High school diploma or equivalent certification
• Minimum of 3 years of experience in medical billing/coding
• Previous pre-certification experience
• Familiarity with insurance terminology and managed care plans
• Ability to work effectively with internal and external stakeholders, including healthcare professionals and patients