Clinical Admin Coordinator

Precertifier Team MemberContract: 09/08/2026 to 03/07/2027 Location: 325 Broad St, Sumter, SC 29150 / Remote Position Type: Healthcare Administration Allmed Benefits: Vision, Health, Dental Insurance and 401(k) Schedule: Bussiness Hours Pay: $13.50/hr (Paid Weekly)Position SummaryThe Precertifier Team Member is responsible for obtaining prior authorizations and pre-certifications for diagnostic testing, procedures, medications, and specialty treatments. This position works closely with providers, patients, insurance companies, and ancillary departments to help ensure timely access to medically necessary services while meeting insurance and organizational requirements.Essential Duties & ResponsibilitiesObtain prior authorizations and pre-certifications for diagnostic testing, procedures, medications, and specialty treatments, including:MRICT ScansStress TestsUltrasoundsNerve Conduction StudiesVestibular Testing (VNG)Botox TreatmentsSpecialty and injectable medicationsVerify patient insurance benefits and authorization requirements.Submit clinical documentation and medical records to insurance carriers as required.Monitor authorization requests and follow up with payers to obtain timely decisions.Communicate approvals, denials, and pending requests to providers, clinical staff, and patients.Review denial determinations and coordinate appeals when appropriate.Maintain accurate documentation of authorization requests and outcomes within the EMR.Ensure authorization activities comply with payer guidelines and organizational policies.Collaborate with physicians, nurses, and ancillary departments to obtain necessary clinical information.Track authorization expiration dates and obtain extensions when necessary.Provide professional customer service while maintaining patient confidentiality and HIPAA compliance.Required QualificationsHigh school diploma or equivalent.Strong organizational and time-management skills.Excellent verbal and written communication skills.Ability to manage multiple priorities in a fast-paced healthcare environment.Strong attention to detail and follow-through.Ability to work independently and as part of a team.Understanding of patient confidentiality and HIPAA requirements.Preferred QualificationsAssociate degree.Previous experience with prior authorizations, pre-certifications, or medical insurance verification.Healthcare administration experience.Knowledge of medical terminology and diagnostic testing.Experience with specialty medication authorization processes.Familiarity with EMR systems and insurance payer portals.Core CompetenciesPrior Authorization & Insurance KnowledgeAttention to DetailCritical Thinking & Problem SolvingTime ManagementCustomer ServiceOrganizationCommunicationTeam CollaborationAbility to Work IndependentlyWork LocationThe position may be based at the Sumter, SC office at 325 Broad Street or performed remotely, depending on business needs and eligibility for remote work.