Lead Pre-Certification Coordinator

Job Summary

A company is looking for a Lead Pre-Certification Coordinator (Remote).

Key Responsibilities

• Lead the pre-certification team in daily activities and manage workload prioritization
• Act as a liaison between department facilities and physician offices, addressing billing inquiries and insurance questions
• Provide training and support to staff, assisting with complex cases and reviewing denials for potential reconsideration

Required Qualifications

• High school diploma or equivalent certification
• Minimum of 3 years of medical billing/coding experience
• Previous pre-certification experience
• Familiarity with insurance terminology and managed care plans
• Ability to work with internal and external customers, including healthcare professionals