What are the responsibilities and job description for the Pre-Certification Specialist position at Consultants in Pain Medicine,PA?
- Excellent Customer Service
- Able to Obtain authorizations for office visits or procedures
- Must have knowledge about all insurance companies HMO,PPO,WMC, Medicaid and Medicare.
- Communicate patient financial responsibility to the patient prior to the appointment Co-Pays and Deductibles
- Accept incoming calls or electronic requests from patients or referring physicians for procedures such as nerve blocks, epidural injections, or other pain management interventions
- Ability to work at a high pace and in a detailed orientated environment.
- At least 4- year pre-certification experience required
- Must type minimum of 50 to 50 WPM.
- Pain Medicine
- Confirm patient insurance coverage and eligibility for the requested service
- Evaluate referral against payer guidelines to ensure all required documentation is present
- Document all referral details, including codes, place of service, service type, provider, and required medical information
- Bilinguial
Skills and Qualifications
- High school diploma or GED
- Experience in physician office practice, insurance billing, or collections
- Knowledge of insurance verification and prior authorization processes
- Strong computer skills (EMR, scheduling systems)
- Excellent communication and organizational skills sichc.org 1
In summary: In a pain medicine office, pre-certification duties involve managing the full authorization lifecycle—from receiving referrals and verifying insurance, to coding, submitting requests, and following up—ensuring timely, compliant, and patient-centered care.
Job Type: Full-time
Benefits:
- Dental insurance
- Health insurance
- Health savings account
- Vision insurance
Ability to Relocate:
- San Antonio, TX 78230: Relocate before starting work (Preferred)
Work Location: In person