Precertification Specialist

Job Summary

A company is looking for a Pre-certification Specialist with Managed Care experience preferred.

Key Responsibilities

• Perform all pre-certification processes for admissions
• Establish and maintain relationships with Managed Care providers to ensure satisfaction
• Organize and maintain documentation of clinical records for submission to managed care organizations

Required Qualifications

• Previous admissions experience required; Managed Care precertification experience preferred
• Knowledge of Medicaid, Medicare, and Managed Care procedures
• Ability to work flexible hours
• Basic computer skills
• Ability to make independent decisions when necessary