HCA Healthcare · 1 day ago
Precertification Representative PRN
United States
Part-time
Remote
Entry Level
1+ years expHCA Healthcare is a leading healthcare organization committed to delivering compassionate care. The Precertification Representative is responsible for managing authorization requests and ensuring efficient scheduling of patient procedures while maintaining effective communication with patients and healthcare providers.
BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care
Responsibilities
Requests, obtains and follows up on authorization requests
Processes Phoned and/or faxed requests processed in a prompt and timely manner
Stat requests and interdepartmental scheduling processed promptly
Contacts the facilities, physicians’ offices and/or insurance companies to resolve denials/appeals
Schedules patient tests, and/or procedures in a prompt, courteous manner
Correctly utilizes the features of the Meditech system and accurately enters necessary information
Instructs patients and physician staff on authorization, test preparation and registration information
Establishes and maintains a working knowledge and vocabulary of procedures scheduled
Demonstrates the willingness and ability to process requests for diagnostic procedures and coordinates the Peer to Peer function as needs arise
Checks patient orders for compliance with Medicare guidelines
Processes physician’s orders in accordance with department standards
Assists with orientation of new employees as needed and serves as a resource within the department
Displays confidence when processing difficult or interdepartmental requests
Recognized by customers as knowledgeable and helpful
Qualification
Required
Virtual Employees are required to have wired High Speed Internet Speed 25 MBS Download and 15MBS Upload
Remote employees are required to live within 60 miles of an HCA hospital
Preferred
High school diploma or GED preferred
One year of precertification experience preferred
Previous Call Center Experience preferred
Meditech experience a plus
Benefits
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Company
HCA Healthcare
HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.
10001+ employees
H1B Sponsorship
HCA Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2022 (2)
2020 (1)
Funding
Current Stage
Public CompanyTotal Funding
$8.51B2025-10-31Post Ipo Debt· $3.25B
2025-02-24Post Ipo Debt· $5.25B
2014-06-25Post Ipo Debt· $3.2M
Leadership Team
Nicholas Manning
Chief Executive Officer
Nick Lane
Regional Vice President Human Resources
Recent News
2025-12-31
2025-12-26
2025-12-24
Company data provided by crunchbase