Pre-Certification Specialist Position Available In Cobb, Georgia

Pre-Certification Specialist
Healthcare – Non Clinical Smyrna, Georgia
Direct Hire
Jun 12, 2025
ExecuSource has partnered with a large GI/Endoscopy group and we are assisting them on a search for a Pre-Certification Specialist for their Central Business Office (CBO) in Smyrna. This is a direct-hire/permanent position and the Hiring Manager is actively setting up interviews! Please note – This is a 100% in office role. No remote or hybrid schedule is being offered.

Position Description:

Performs various access-related duties to include but not limited to, eligibility/insurance verification for services, obtaining authorization/referrals, scheduling, canceling, rescheduling, point of service payments, general appointment information and directions.

Responsibilities:

Authorizes and pre-certifies services by coordinating and performing activities required for verification and authorization of insurance benefits for services and communicate the patient’s financial responsibility
Proactively identifies resources for patients and may communicate the financial resources available to patients whose health plan does not include coverage for services
Interviews patients and/or family members as needed to secure information concerning insurance coverage, eligibility, and qualification for various financial programs
Coordinates and performs verification of insurance benefits for every visit by contacting insurance company /website and determining eligibility of coverage and communicates status of verification/authorization/referral process with appropriate team members in a timely and efficient manner
Provides clinical information as needed, emphasizing medical justification for procedure/service to insurance companies for completion of authorization/referral process
Maintains tracking of patients on schedule, ensuring that the correct insurance plan, eligibility, referral and authorization information has been entered into data entry systems accurately along with documenting applicable notes or review secure notes
Calculate estimated patient responsibility to inform the patient and document in the data entry system
Collect payment prior to or on the date of service
Reschedule/cancel patients in the data entry system accordingly due to verification/authorization related issues

Job Relevant Work Experience:

2 years of experience in insurance verification, financial counseling, billing, scheduling, equivalent externship, or access related position
Working knowledge of basic medical terminology
Epic EMR experience preferred Ability to work independently in a changing environment and handle stressful situations.
Must be able to speak and write in a clear and concise manner to convey messages and ensure that the customer understands whether clinical or non-clinical
Proficient in Microsoft Word/Excel/Outlook, and insurance websites

More Information:

Schedule:

Monday-Friday, 8a-5p

Pay:

$22-$23/hour

Start:

ASAP
100% in office role – no remote or hybrid schedule
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