Pre-Certification Coordinator

Job Summary

To ensure efficient medical services and maximize reimbursement, the full-time remote Pre-Certification Coordinator will manage the pre-determination process, verify benefits with insurance companies, and maintain communication with healthcare providers regarding surgical and nonsurgical procedures.

Key responsibilities:

• Initiates and facilitates the pre-determination process for surgical and nonsurgical procedures
• Contacts insurance companies for benefit verification and pre-certification, notifying financial counselors as needed
• Maintains a daily surgery/procedure schedule and documents all pre-certifications in process

Required qualifications:

• High school diploma or equivalent certification
• Minimum of 2 years of experience in a medical office setting
• Experience obtaining insurance authorizations and pre-determinations
• Familiarity with surgical and diagnostic testing processes
• No specific certification or professional license required