Description Semmes Murphey Clinic's mission is to deliver the best care for people suffering from neurological illness while advancing the field of neuroscience. Our precertification department is hiring a specialist. This role will primarily work on surgery precertification's. You will work closely with your team and the clinical staff to ensure the timely and efficient pre-cert of SMC procedures or surgeries and assist in providing continuity of quality patient care. Key Responsibilities: • Develop and maintain effective relationships with insurance companies, physicians, and medical office staff • Determine necessity for precertification and coordinate with insurance companies, patients and clinical staff to obtain information • Obtain and complete all insurance pre-certifications and authorizations, as required, for various surgical procedures • Work collaboratively with block precertification and radiology precertification staff; contribute to both block and radiology authorizations as delegated • Maintain complete and accurate precertification documentation in patient charts • Regular and reliable attendance is required to successfully perform these essential functions Requirements Minimum: • High school diploma or equivalent • Two (2) years’ relevant experience in medical registration/admissions, precertification and/or medical insurance Preferred: • Current medical assistant certification or state licensure as a Practical Nurse (or licensure from a state within the Nursing Compact) Knowledge, Skills, & Abilities • Proficient knowledge of insurance requirements, medical/clinical terminology, medical necessity associated with various clinical procedure codes, and certification/referral work flow • Proficient in Microsoft Office (Excel, Outlook, Word) • Knowledge of internet software and electronic medical records (EMR) • Effective communication, both oral and written • Excellent interpersonal skills with the ability to tactfully interact with all levels of the organization • Ability to provide excellent customer service during difficult or emotional situations • Ability to manage workflow and prioritize demands • High level of confidentiality and discretion Equal Opportunity Employer/Veterans/Disabled #SMC