Precertification Clerk
Core
Coordinate pre-certification and notification of services between insurance companies, physician offices, and patients to verify eligibility and determine financial responsibility.
Role type
Administrative clerk (healthcare billing/authorization)
Builds
Prior authorization workflows and patient financial responsibility estimates
Domain
Healthcare administration / Insurance verification
Deliverable
client delivery
Required skills
Insurance eligibility verification, benefits determination, patient communication, early registration, medical billing knowledge, procedure code familiarity, data entry accuracy
Preferred skills
Prior healthcare setting work experience
Responsibilities
Verify insurance coverage and eligibility, estimate patient financial responsibility, contact patients regarding authorization status and payment arrangements, perform early registration, document communications with insurance and physicians, maintain knowledge of coverage policies and contract rates