Rehabilitation and Neurological Services, LLC · 2 days ago
Pre-Certification Specialist
Huntsville, AL
Full-time
Onsite
Entry, Mid Level
$15/hr - $20/hr
2+ years expRehabilitation and Neurological Services, LLC is seeking a Pre-Certification Specialist responsible for obtaining necessary pre-certification approvals from insurance providers. The role requires strong communication skills and attention to detail to ensure patients receive required services and procedures.
Health CareHealth DiagnosticsRehabilitationTherapeuticsWellness
Responsibilities
Pre-Certification Management: Obtain pre-certification approvals from insurance companies for medical procedures, services, and medications
Documentation: Collect and review all required documentation to ensure compliance with insurance and regulatory requirements
Communication: Serve as a liaison between healthcare providers, insurance companies, and patients to facilitate smooth pre-certification processes
Follow-Up: Track and follow up on pending pre-certification requests to ensure timely approvals
Data Entry: Accurately enter and maintain pre-certification data in the electronic health record (EHR) or other relevant systems
Problem Resolution: Address and resolve any issues or denials related to pre-certification requests
Compliance: Stay informed about changes in insurance policies, procedures, and regulatory requirements to ensure compliance
Qualification
Required
High School Diploma or equivalent required
Minimum of [2-3] years of experience in a healthcare or insurance setting, with a focus on pre-certification or authorization processes
Strong knowledge of insurance pre-certification and authorization procedures
Excellent communication and interpersonal skills
Proficiency in using electronic health records (EHR) systems and other relevant software
Detail-oriented with strong organizational skills
Ability to work independently and handle multiple tasks simultaneously
Preferred
Associate's or Bachelor's degree in healthcare administration, business, or a related field preferred
[Any specific certifications required or preferred, e.g., Certified Professional Coder (CPC)]
Benefits
401(k) matching
Dental insurance
Health insurance
Vision insurance
Company
Rehabilitation and Neurological Services, LLC
At RNS, we leverage technology, state-of-the-art equipment, and a unique team concept to assist our patients in finding the best possible approach that is comfortable for each individual.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase