Member Certification Specialist coordinates the certification and credentialing programs of a professional or membership organization. Participates in the development of standards and the creation of testing materials. Being a Member Certification Specialist maintains and monitors a test scheduling system or database. Organizes resources to implement testing schedules and sessions, including locations, testers, technology, and materials. Additionally, Member Certification Specialist assists members with information about programs and resolves any issues with the process. Interfaces with and monitors outside testing providers. May require a bachelor's degree. Typically reports to a manager. The Member Certification Specialist occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Member Certification Specialist typically requires 2-4 years of related experience. (Copyright 2024 Salary.com)
Description
Join Kansas City's leading eye care team! At Discover Vision Centers, we believe in working together to provide the best eye care for our patients. We are currently hiring for a Pre-Certification Specialist to join our ever-growing team of professionals who share our main focus of GREAT PATIENT CARE!
Responsibilities:
- Verify insurance coverage and pre-certification requirements for medical procedures and services
- Communicate with insurance companies and healthcare providers to obtain necessary pre-certification approvals
- Review medical records and documentation to ensure compliance with pre-certification requirements
- Maintain accurate and up-to-date records of pre-certification approvals and denials
- Collaborate with healthcare providers to resolve pre-certification issues and ensure timely delivery of medical services
- Stay up-to-date with changes in insurance policies and pre-certification requirements
Requirements
- High school diploma or equivalent; associate's or bachelor's degree in healthcare administration or related field preferred
- Experience in pre-certification or insurance verification in a healthcare setting
- Knowledge of medical terminology and insurance policies
- Strong communication and interpersonal skills
- Ability to work independently and as part of a team
- Excellent organizational and time management skills
- Proficiency in Microsoft Office and electronic medical record systems
We understand the importance of work-life balance and want our team members to thrive personally and professionally. In addition to a rewarding career, we offer a comprehensive wellness package that includes exciting benefits such as:
If you are seeking new adventures in patient care and have a passion for going above and beyond to ensure all our patients are given the best patient experience, then we want to hear from you... Please Apply!
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