Precertification Specialist - McKinney, TX

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.