Pre-Certification Specialist

Dayton Physicians Network Vandalia, OH
Pre-Certification Specialist

Dayton Physicians is looking for an experienced Pre-Certification Specialist to join our team at our Vandalia, OH office!

Pre-Certification Specialist obtains pre-certification for diagnostic testing, treatments and/ or surgeries and relays this information to the patient; ensure certification is documented in system.

Essential Duties and Responsibilities:

* Contacts insurance companies to obtain pre-certification of requested diagnostic testing, and/or treatments;

* Documents the certification in the computer system;

* Notifies physician when medical review is required;

* Communicates situations projected to result in a non-covered balance;

* Completes diagnostic testing forms and schedules test;

* Follow all health care privacy and safety rules and adheres to Dayton Physicians Core Values;

* Other duties as assigned.

Required Education and/ Experience:

* 2-3 years medical pre-certification experience is preferred.

* 1 year of previous medical office experience is required.

* Microsoft Office and general computer skills are required.

* Experience working with a Practice Management system is preferred.


* Dayton Physicians offers full medical, dental, vision, generous PTO, and 401k.

* Office hours are generally Monday-Friday

* Paid holidays