Pre-Certification Specialist

  • Location
    Leawood, Kansas
  • Category
    Health Care - General
  • Job reference:
    US_EN_7_810010_2782710
  • Job Type
    Contract/Temporary

Ajilon Healthcare is assisting our client with a search for a Pre-certification Specialist located in Overland Park, KS. In this contract role, candidates will be working for a company that encourages a strong work/life balance.

Ideal candidates will have experience in performing insurance verifications and data entry of demographic information as well as communicate with insurance companies and doctor’s offices. Candidates will also coordinate referrals and benefits as well as obtain prior authorizations for specific patient visits.

Responsibilities:

  • Work from a que to contact all patients and pre-certify services
  • Direct patients with financial needs to Patient Account Representative
  • Conduct phone screens of patients to retrieve demographic and insurance data needed for billing purposes
  • Verify patient eligibility and relay co-payment and deductible information to patient
  • Qualifications/Skills:

  • Understanding of patient insurance
  • Excellent communication and interpersonal skills
  • Ability to communicate with patients, providers and payors in regard to insurances, eligibility and patient needs
  • Experience:

  • High school diploma or GED
  • Minimum of four years’ experience in medical office setting
  • Minimum of three year of experience in insurance, pre-certifications or referrals
  • To learn more about this healthcare job opening, apply online and submit a current resume to amanda.kirk@ajilon.com. Interested in a position other than this one? Browse our other healthcare positions at www.ajilon.com.



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