Precertification Specialist
Bridgeview Eye Partners - Cuyahoga Falls, OH
Hiring: Precertification Specialist Company: Bridgeview Eye Partners Location: Cuyahoga Falls, OH Job Posted Time: 2026-09-16 13:29:22 Target Skills & Keywords : CPT, Clinical Documentation, Electronic Health Records, HIPAA, ICD-10, Medical Billing, Microsoft Office, Prior Authorization About the job Required Skills: •Verify insurance benefits, eligibility, and coverage requirements. •Review clinical documentation to ensure authorization requirements are met. •Communicate with insurance carriers regarding authorization status and appeals. •Coordinate with surgeons, surgery schedulers, clinics, and patients to ensure all required approvals are obtained prior to surgery. •Maintain accurate documentation within the electronic medical record and other systems. •Monitor authorization expiration dates and manage renewals when necessary. •Resolve authorization denials and assist with appeals as appropriate. •Stay current on payer guidelines, authorization requirements, and regulatory changes. Qualifications: •Obtain insurance prior authorizations and precertifications for surgical procedures. Compensation: •PTO after the first 60 days of employment Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!