AR Precertification Specialist

Monitor patient schedules in the billing system to pre-certify all patients for office visits, consultations, testing, and procedures according to specific insurance company requirements. Execute approval processes by calling, faxing, emailing, and logging into online systems as needed. Assist accounts receivable, coding, registration, and insurance follow-up staff on an as-needed basis while answering departmental requests regarding pre-cert requirements. Review insurance pre-cert requirements timely to maintain up-to-date knowledge and notify staff of approval or denial statuses. Forward denials to managers and appropriate staff for further review, maintaining strict confidentiality throughout. Perform other duties as assigned.