Skip to main content
Tallo logoTallo logo
Apply for this opportunity

This job application is on an outside website. Be sure to review the job posting there to verify it's the same.

Apply Offsite

Pre-Certification Specialist

Job

Southwoods Health

Boardman, OH (In Person)

Full-Time

Posted 2 weeks ago (Updated 1 week ago) • Actively hiring

Expires 7/12/2026

Review key factors to help you decide if the role fits your goals.
How is this calculated?
Pay Growth
?
out of 5
Not enough data
Not enough info to score pay or growth
Job Security
?
out of 5
Not enough data
Calculating job security score...
Total Score
50
out of 100
Average of individual scores

Were these scores useful?

Skill Insights

Compare your current skills to what this opportunity needs—we'll show you what you already have and what could strengthen your application.

Job Description

Pre-Certification Specialist Company:
Southwoods Health Position:
Pre-Certification Specialist Location:
Southwoods Executive Centre - Boardman, Ohio About the Role Southwoods Health is seeking a detail-oriented Pre-Certification Specialist to join our growing team at the Southwoods Executive Centre. In this role, you will be responsible for requesting and obtaining insurance authorizations for procedures and imaging ordered by Southwoods Health physicians.
Essential Duties & Responsibilities Authorization Management :
Request, track, obtain, and extend pre-authorizations from various insurance carriers in a timely manner.
Intake & Investigation :
Gather accurate, detailed patient data and investigate alternative payment sources to initiate services.
Issue Resolution :
Assist in resolving complex insurance issues, re-authorizations, and patient eligibility discrepancies.
Information Handling :
Promptly respond to referral sources requesting supporting documentation, medical reports, or clinical information.
Internal Communication :
Record and update insurance details within internal databases to keep pertinent staff informed of payer verifications or benefit changes.
Compliance & Confidentiality :
Maintain strict patient confidentiality and adhere to all federal, state, and regulatory guidelines (including OSHA, ODH, BOP, and TJC) across physician practices.
Data Management :
Independently maintain records and workflow utilizing electronic medical records (EMR) and specialized databases.
Administrative Support :
Assist in the development, organization, and maintenance of role-specific documents, policies, and process tools.
Qualifications & Requirements Education/Training :
Specialized courses or training in medical terminology, business office operations, and computer applications.
Experience :
Minimum of two (2) years of experience handling medical procedure and imaging pre-authorizations across multiple modalities and specialties. Family Practice (FP) or Internal Medicine (IM) office experience is highly preferred.
Skills :
Proven insurance verification expertise, strong problem-solving capabilities, and meticulous attention to detail.
Communication :
Excellent interpersonal skills with the ability to maintain a highly professional demeanor, strong ethical standards, and moral principles at all times. Schedule & Benefits Full-time. Monday-Friday 8:00am-4:30pm. At Southwoods Health, it's not just about the treatment, but how you're treated. #SWH Apply online today: southwoodshealth.com