AR Precertification Specialist

Responsibilities Pre‑certify all patients for office visits, consults, testing, and procedures as required by each patient’s insurance company by monitoring patient schedules in the billing system for each department. Follow insurance company pre‑certification requirements for approval, such as calling, faxing, emailing, and logging into their system online. Assist accounts receivable, coding, registration, and insurance follow‑up staff on an as‑needed basis. Answer requests from various departments regarding pre‑certification requirements for various insurance companies. Review pre‑certification requirements for insurance companies in a timely manner to maintain up‑to‑date knowledge of requirements. Notify appropriate staff on the status of approval/denials. Forward denials to manager and appropriate staff for further review and decision making. Maintain strict confidentiality. Perform related work as required. Physical Demands Must be able to use arms, hands, and fingers skillfully. Constant sitting for long periods of time. Must be agile and able to work efficiently in space‑limited areas. Consistently work at a productive pace. Must readily adapt to frequent treatment schedule changes. Requirements High School Diploma/GED required. Three years of insurance and/or billing experience preferred. One year of healthcare experience preferred. Coding, accounts receivable, and insurance reimbursement knowledge required. Ability to work under pressure and meet deadlines. Outstanding organizational, verbal, and writing skills. Independent and highly motivated. Initiative and self‑discipline. Equal Opportunity Employer. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr