Lead Pre-Certification Specialist

Job Summary

A company is looking for a Lead Pre-Certification Team member.

Key Responsibilities

• Assist in the development, implementation, and maintenance of authorization systems
• Coordinate and provide training for staff on new releases and process changes
• Serve as a liaison with clinical departments and external vendors regarding precertification requirements

Required Qualifications

• High School Diploma/GED
• 5 years of experience in a physician's office or specialized medical setting
• 1 year of prior authorization experience
• Knowledge of medical terminology and Microsoft Office Suite
• Demonstrated leadership qualities and expertise in authorization processes