Pre-Certification Coordinator

Job Summary

To ensure efficient processing of medical services and maximize reimbursement, the full-time remote Pre-Certification Coordinator will manage the pre-certification process by interacting with insurance companies, maintaining communication with medical staff, and documenting all pre-certifications.

Key responsibilities:

• Initiates and facilitates the pre-determination process for medical services
• Contacts insurance companies for benefit verification and pre-certification of procedures
• Maintains a log of pre-certifications and communicates with the billing department regarding status

Required qualifications:

• High school diploma or equivalent certification
• Two years of experience in a medical office setting
• Preferred associate degree
• Certification as a Certified Professional Coder (CPC) or Registered Health Information Technician (RHIT) is a plus