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Precertification Specialist

JOB SUMMARY: Responsible for verifying insurance on our schedule and obtaining pre-authorization as needed.

Employees who work in the Pre-cert department must be motivated, organized, and a team-player with a positive attitude. Candidates preferably would be experienced with all aspects of insurance verification, referrals and the authorization process in regards to medical testing. Candidates preferably will be familiar with all forms of commercial insurance plans, PIP claims and Work Comp policies.

Duties include but not limited to:

  • Verification of any and all in-network and out of network insurances and Medicare.
  • Obtains precertification for physician’s office if applicable.
  • Determines patient qualification for coverage and notes patient accounts respectively.
  • Maintains current list of facility insurance precert agreements.
  • Responsible for entering any missing data by schedulers (i.e.: Bloodwork, screening questions, etc.)
  • Inform management of any changes required in obtaining pre-authorizations in order to update and keep the Pre-certification manual accurate.
  • Versatile and willing to coordinate with and participate in, when necessary, all other aspects of our other Business Offices and locations.
  • Performs other duties as assigned and deemed necessary by management.

Experience and Education:

  • Billing experience a plus but not required
  • Insurance verification: 1 year (Preferred)
  • High School Diploma

Required Skills

  • Excellent written and verbal communication skills
  • Strong technical skills
  • Medically knowledgeable and willing to learn
  • Positive and friendly disposition
  • Organized and patient oriented
  • Handles patients with care and compassion
  • Strong follow up skills
  • Works well in a team environment
  • The ability to work well under pressure

Technical Sills

  • Microsoft
  • Word
  • Excel
  • PC Computers


  • 8 hour shift
  • Day shift
  • Monday to Friday
  • No weekends
  • Overtime


$18.00 per hour


  • 401(k)
  • Dental insurance
  • Disability insurance
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Retirement plan
  • Vision insurance

COVID-19 considerations:
All patients and staff are required to wear a mask at all times while in the facility.
**In accordance with Executive Order No. 252, all staff are required to be fully vaccinated.**


Job Type: Full Time
Job Location: Hackettstown

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