Pre-certification Coordinator

Job Summary

To ensure seamless insurance verification and precertification processes, the full-time remote Pre-certification Coordinator will manage the authorization for outpatient procedures, inpatient admissions, and surgeries while engaging with patients and healthcare teams.

Key responsibilities

• Coordinate insurance verification and precertification for outpatient and inpatient services
• Obtain prior authorizations, pre-approvals, and referrals for scheduled admissions and procedures
• Communicate with patients to gather necessary demographic and insurance information and inform them of co-pays

Required qualifications

• High School diploma or GED
• 6 months of relevant experience in a healthcare setting, customer service, or authorization work
• Familiarity with medical terminology and payer requirements
• Proficiency in Windows, Excel, and navigating intranet/internet tools
• Ability to work independently and effectively communicate with healthcare teams