Pre-Certification Specialist Texas Pain Partners, PLLC - 1.0 San Antonio, TX Job Details Full-time 19 hours ago Benefits Health insurance Dental insurance Vision insurance Qualifications Customer communication Medicare Medicaid health insurance Pre-authorization review for utilization management Medicare regulations Medicaid regulations Medicaid Typing Full Job Description Excellent Customer Service Able to Obtain authorizations for office visits or procedures Must have knowledge about all insurance companies HMO,PPO,WMC, Medicaid and Medicare. Communicate patient financial responsibility to the patient prior to the appointment Co-Pays and Deductibles Accept incoming calls or electronic requests from patients or referring physicians for procedures such as nerve blocks, epidural injections, or other pain management interventions Ability to work at a high pace and in a detailed orientated environment. At least 4- year pre-certification experience required Must type minimum of 50 to 50 WPM. Pain Medicine

+ Confirm patient insurance coverage and eligibility for the requested service Evaluate referral against payer guidelines to ensure all required documentation is present Document all referral details, including codes, place of service, service type, provider, and required medical information Bilinguial

+ Skills and Qualifications High school diploma or GED Experience in physician office practice, insurance billing, or collections Knowledge of insurance verification and prior authorization processes Strong computer skills (EMR, scheduling systems) Excellent communication and organizational skills sichc.org+1 In summary: In a pain medicine office, pre-certification duties involve managing the full authorization lifecycle—from receiving referrals and verifying insurance, to coding, submitting requests, and following up—ensuring timely, compliant, and patient-centered care.

Job Type:

Full-time Benefits:

Dental insurance Health insurance Vision insurance Ability to

Relocate:

San Antonio, TX 78230: Relocate before starting work (Preferred)

Work Location:

In person