Pre-Certification Specialist

VSSKC
Independence, MO Full Time
POSTED ON 5/22/2024 CLOSED ON 7/22/2024

What are the responsibilities and job description for the Pre-Certification Specialist position at VSSKC?

Job Description:

Our ophthalmology practice has an immediate opening for an experienced Pre-Certification Specialist at our Independence office. We are focused on Great Patient Care and are seeking a candidate who shares these ideals. This is a full-time position, Monday-Friday, 8:00am - 5:00pm. Compensation is $19-$21/hourly, based upon experience. Our practice offers excellent benefits and because we understand the importance of work-life balance, we offer generous PTO and paid holidays.

Responsibilities:

- Verify insurance coverage and pre-certification requirements for medical procedures and services

- Communicate with insurance companies and healthcare providers to obtain necessary pre-certification approvals

- Review medical records and documentation to ensure compliance with pre-certification requirements

- Maintain accurate and up-to-date records of pre-certification approvals and denials

- Collaborate with healthcare providers to resolve pre-certification issues and ensure timely delivery of medical services

- Stay up to date with changes in insurance policies and pre-certification requirements

Requirements:

- High school diploma or equivalent; associate or bachelor's degree in healthcare administration or related field preferred

- Experience in pre-certification or insurance verification in a healthcare setting- Knowledge of medical terminology and insurance policies

- Strong communication and interpersonal skills

- Ability to work independently and as part of a team

- Excellent organizational and time management skills

- Proficiency in Microsoft Office and electronic medical record systems

If you are interested in being considered for this position, please submit a current and updated resume to this posting.

EOE

Job Type: Full-time

Pay: $19.00 - $21.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Retirement plan
  • Vision insurance
  • Wellness program

Weekly day range:

  • Monday to Friday

Application Question(s):

  • Do you have an associate degree or BS degree? Describe
  • Do you have experience with EMR systems? If so, what system(s)?

Education:

  • High school or equivalent (Required)

Experience:

  • Pre-Cert: 1 year (Required)
  • prior authorization/insurance: 1 year (Required)

Ability to Commute:

  • Independence, MO 64055 (Preferred)

Work Location: In person

Salary : $19 - $21

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