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Precertification Specialist
NMA (Neuromonitoring Associates)United StatesRemotefull_timeVerifiedPosted 22 Sept 2025
About the role
Job Details
Level EntryJob Location McKinney, TXRemote Type Fully RemotePosition Type Full TimeEducation Level High SchoolJob Category BillingDescription
Position Title: Precertification Specialist Department: Precertification Reports To: Precertification Manager FLSA: Non-Exempt Position Summary: As a Precertification Specialist you will play a crucial role in ensuring the accurate and timely precertification of medical procedures and services. This position is pivotal in maintaining seamless patient care and operational efficiency. You will utilize your attention to detail, strong communication skills, and ability to navigate payer requirements to contribute to our commitment to delivering exceptional healthcare services. Essential Duties & Responsibilities:- Accurately enter payer information into multiple databases and follow established procedures for distributing information for further review.
- Follow up with carriers to obtain precertification numbers and file completed requests according to established procedures.
- Continuously monitor schedules to ensure the most current data is maintained.
- Verify benefits for each case and document accounts appropriately, especially for workers' compensation and motor vehicle accident cases.
- Obtain precertification for each case and ensure that all necessary documentation is promptly uploaded to patient files.
- Document all pertinent information and communications in the designated database system.
Qualifications
Qualifications & Requirements: Education Licenses/Certifications:- High School Diploma or equivalent. Bachelor’s degree preferred
- 2 years’ Insurance Verification experience required.
- Out of Network experience preferred.
- Strong organizational skills with the ability to prioritize tasks effectively in a fast-paced environment.
- Excellent written and verbal communication skills.
- Ability to work independently and as part of a team.
- Ability to interpret an Explanation of Benefits and take additional necessary steps toward payment.
- Familiarity with Microsoft applications and database software.
- Attention to detail and accuracy in data entry and documentation.
- Proficient in utilizing available tools and equipment to complete tasks efficiently.
- Capable of working independently with minimal supervision.
- Generally, work in an office environment.
- Frequent and prolonged periods of computer and office equipment usage.
- Standard business hours with occasional overtime to meet project deadlines.
- Ability to manage stress and maintain productivity under tight deadlines and changing priorities.
- Regular interaction with team members, clients, and other stakeholders through various communication channels.
- Ability to maintain a stationary position for extended periods.
- Occasionally required to move short to moderate distances.
- Must be able to lift and/or move up to 50 pounds occasionally.
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