Precertification Analyst
Confidential
Dent County
Full Time
Expires On: 12/08/2025
:
• Job Summary ◦ The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations. Interprets patient medical records and reviews cases with the insurance nurse reviewer. Accurately enters information into multiple computer programs and insurance websites.
• Job Requirements ◦ Education Required: High School Diploma or Equivalent Preferred: Medical Assistant Degree ◦ Experience Required: 1 Year Related Experience Preferred: 6 months experience with medical terminology ◦ Skills Strong analytical/problem solving skills. Ability to communicate effectively with different levels of management, nursing, physicians, and insurance nurse reviewers. Excellent time management, Communication skills, organization, prioritizing, decision-making, and planning skills. Flexibility and ability to work in a multi-tasking environment. Ability to understand and interpret insurance benefits Ability to understand multiple computer programs and multiple insurance websites. ◦ Licensure/Certification/Registration N/AEducation: Required: High School Diploma or Equivalent Preferred: Medical Assistant Degree Experience: Required: 1 Year Related Experience Preferred: 6 months experience with medical terminology Skills: Strong analytical/problem solving skills. Ability to communicate effectively with different levels of management, nursing, physicians, and insurance nurse reviewers. Excellent time management, Communication skills, organization, prioritizing, decision-making, and planning skills. Flexibility and ability to work in a multi-tasking environment. Ability to understand and interpret insurance benefits Ability to understand multiple computer programs and multiple insurance websites. Licensure/Certification/Registration: N/A
• Job Summary ◦ The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations. Interprets patient medical records and reviews cases with the insurance nurse reviewer. Accurately enters information into multiple computer programs and insurance websites.
• Job Requirements ◦ Education Required: High School Diploma or Equivalent Preferred: Medical Assistant Degree ◦ Experience Required: 1 Year Related Experience Preferred: 6 months experience with medical terminology ◦ Skills Strong analytical/problem solving skills. Ability to communicate effectively with different levels of management, nursing, physicians, and insurance nurse reviewers. Excellent time management, Communication skills, organization, prioritizing, decision-making, and planning skills. Flexibility and ability to work in a multi-tasking environment. Ability to understand and interpret insurance benefits Ability to understand multiple computer programs and multiple insurance websites. ◦ Licensure/Certification/Registration N/AEducation: Required: High School Diploma or Equivalent Preferred: Medical Assistant Degree Experience: Required: 1 Year Related Experience Preferred: 6 months experience with medical terminology Skills: Strong analytical/problem solving skills. Ability to communicate effectively with different levels of management, nursing, physicians, and insurance nurse reviewers. Excellent time management, Communication skills, organization, prioritizing, decision-making, and planning skills. Flexibility and ability to work in a multi-tasking environment. Ability to understand and interpret insurance benefits Ability to understand multiple computer programs and multiple insurance websites. Licensure/Certification/Registration: N/A
