Pre-Certification Coordinator - Join a Growing Healthcare Team Integrated Practice Services, LLC Knoxville, TN Job Details Full-time From $18 an hour 4 hours ago Benefits Paid holidays Disability insurance Health insurance Dental insurance 401(k) Paid time off Vision insurance 401(k) matching Life insurance Qualifications Computer operation Medical documentation Microsoft Outlook Electronic health records (EHR) management Medical office experience Word embeddings Filing Medical scheduling High school diploma or GED Document management systems Full Job Description Integrated Practice Services, LLC is seeking a Pre-Certification Coordinator to join our team supporting East Tennessee's largest radiology practice in Knoxville, TN. This is an excellent opportunity for a detail-oriented healthcare professional who enjoys collaboration and playing an important role in supporting physicians and daily practice operations. Position Summary The Pre-Certification Coordinator is responsible for obtaining and managing insurance pre-certifications and pre-authorizations for imaging studies and procedures while maintaining accurate documentation and supporting efficient clinic operations. This role also assists with a variety of administrative and operational functions, providing opportunities for continued professional growth and cross-training. Key Responsibilities Insurance Authorization & Pre-Certification Coordination Obtain pre-certification and pre-authorization approvals from insurance companies prior to scheduled testing and procedures Verify when authorization is not required and document appropriately Perform timely follow-up on all submitted authorizations, pending requests, denials, and appeals Work closely with providers and clinical staff regarding insurance company decisions, requirements, and medical necessity documentation Schedule peer-to-peer reviews between providers and insurance carriers when necessary Submit reconsiderations and appeals for denied authorization requests as appropriate Maintain knowledge of payer requirements, authorization guidelines, and referral processes Patient Insurance & Scheduling Support Verify patient insurance eligibility and benefits prior to appointments Update and maintain accurate insurance and demographic information in the electronic medical record (EMR) Communicate with patients regarding authorization status, scheduling updates, and insurance-related questions Assist with collection of patient balances and insurance-related documentation when necessary Documentation & Administrative Support Follow established documentation procedures and accurately maintain records related to patient visits, authorizations, and insurance communications Perform general administrative duties including faxing, scanning, printing, filing, and document management Process and route incoming faxes to appropriate personnel or departments in a timely manner Review, sort, and distribute incoming mail daily Assist with processing medical records requests in accordance with company policies and HIPAA guidelines Communication & Team Collaboration Answer and return phone calls in a professional and timely manner Triage calls and requests appropriately to clinical staff, providers, or administrative personnel Collaborate closely with front office, clinical staff, and providers to support efficient clinic operations and patient scheduling Promote a positive, professional, and patient-centered environment through effective communication and teamwork Operational & Cross-Functional Support Assist with additional administrative responsibilities, including accounting support and credentialing tasks as assigned Participate in workflow improvement initiatives, cross-training opportunities, and departmental support activities Maintain strict patient confidentiality in accordance with HIPAA regulations and company policies Perform other related duties as assigned What We're Looking For High school diploma or equivalent required; associate degree preferred Prior experience in a medical office environment required Minimum of 1 year of experience handling insurance authorizations, referrals, or pre-certifications Prior radiology, procedural, or specialty clinic experience preferred Knowledge of medical terminology, insurance processes, and clinical documentation requirements Skilled in navigating insurance websites, payer portals, and authorization systems Strong organizational skills with exceptional attention to detail Ability to manage multiple priorities while maintaining accuracy Excellent communication, customer service, and problem-solving skills Proficiency in Microsoft Word, Outlook, and basic computer applications required Experience with electronic medical records (EMR) required; eClinicalWorks experience preferred Ability to work collaboratively with radiologists, providers, IT personnel, billing staff, and administrative leadership Proven reliability, professionalism, and commitment to maintaining confidentiality Why You'll Love Working Here Paid Time Off (PTO) Paid Holidays Paid Floating Birthday Holiday Comprehensive benefits package including Health Insurance, Dental Insurance, Vision Insurance, Short-Term Disability, Long-Term Disability, Life Insurance 401(k) with Employer Matching Supportive, team-oriented work environment Direct impact on patient experience and practice operations Opportunity to build long-term skills in medical insurance and revenue cycle processes

Job Type:

Full-time Pay:

From $18.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance

Experience:

Insurance/Pre-Certifcation:

1 year (Preferred) Medical office: 1 year (Preferred) Ability to

Commute:

Knoxville, TN 37916 (Required) Ability to

Relocate:

Knoxville, TN 37916: Relocate before starting work (Required)

Work Location:

In person