Pre-Certification Specialist

Job Summary

A company is looking for a Pre-Certification Specialist.

Key Responsibilities

• Contact insurance companies and third-party administrators for pre-authorization requirements
• Obtain pre-authorization for scheduled radiology exams and procedures
• Act as a liaison between patients, referring physician offices, and payors as needed

Required Qualifications

• Direct experience with radiology and/or pre-authorization process
• Familiarity with communicating professionally with payors and patients
• Knowledge of obtaining pre-authorization for medical services
• Understanding of insurance requirements for radiology exams
• Experience in obtaining clinical documentation from referring physician offices