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)
ROLE
Confirm patient insurance demographics and updates account as necessary.
Complete patient pre-certifications, authorizations, and referral requests.
Ensure communications with insurance carrier, primary care physician, specialist, and patient regarding referral, authorization and pre-cert activity.
Accurately document patient medical record and all information regarding the referrals and prior authorizations.
Knowledge of medical offices procedures and insurance guidelines as they relate to referral and prior authorizations required.
Pay based on experience.
Job Type: Full-time
Pay: $15.00 - $17.00 per hour
Expected hours: 40 per week
Benefits:
Weekly day range:
Work Location: In person
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0 Member Certification Specialist jobs found in Oklahoma City, OK area