Pre-Certification Specialist
Boardman, OH
Category: Healthcare
Salary: 41,600.00
Reference ID: 10044200
Shortcut: http://addisongroup.gosnaphop.com/iAFxRK
Job Title: Pre-Certification Specialist
Location (city, state): Boardman, OH
Industry: Healthcare Administration
Pay: $17–$19/hour
About Our Client:
Our client, a respected healthcare provider in the Boardman area, is expanding their Authorizations Department and seeking multiple Pre-Certification Specialists to support their growing needs. This is a great opportunity to join a patient-focused, team-driven environment with strong long-term potential.
Job Description:
The Pre-Certification Specialist will be responsible for securing insurance authorizations for procedures and imaging, ensuring all required approvals are in place prior to patient services. The role requires working directly with insurance companies and healthcare providers to verify benefits, obtain documentation, and maintain accurate data in the system.
Key Responsibilities:
- Submit and track insurance authorizations for medical procedures and imaging
- Communicate with insurance providers to verify eligibility and benefits
- Work with provider offices to obtain necessary clinical documentation
- Maintain accurate and up-to-date records in electronic systems (Meditech preferred)
- Follow up on pending approvals and resolve insurance issues
- Ensure compliance with payer and regulatory requirements
- Collaborate with internal teams and contribute to workflow improvements
Qualifications:
- Minimum of 1 year of experience in authorizations, pre-certification, or referrals
- Familiarity with insurance processes, portals, and EOBs
- Strong communication and organizational skills
- Demonstrated initiative, reliability, and ability to work independently
- Experience in a family or internal medicine setting preferred
- Knowledge of Meditech is a plus
Additional Details:
- Schedule: Monday–Friday, 8:30 AM – 5:00 PM (flexible start time at 8:00 AM available)
- Assignment Type: Direct Hire
- Work Environment: Office setting with soft seating, cubicles, and professional dress (business casual or scrubs)
Perks:
- PTO accrues from day one, usable after 90 days
- 3 weeks off in first year (includes PTO and holidays)
- 7 paid holidays annually
- Health benefits available first of the month after hire
- 401(k) with 3% employer contribution
- Onsite café, coffee station, and gym
- Family-oriented culture with events and giveaways
- Free parking
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
IND 004-008
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