Supervises and/or performs Check-In, Check-out, scheduling, insurance verification/precertification and payment collection process as required due to office demands. * Responds to patient account ...
Supervises and/or performs Check-In, Check-out, scheduling, insurance verification/precertification and payment collection process as required due to office demands. * Responds to patient account ...
RPLS/SIT- Licensed to Lead!
$77K - $106K/yr
Capable of supervising or coordinating the work of surveyors, technicians, and others who assist in ... RPLS Licensure/DOT Precertification - SIT will also be considered * Strong Computer Skills, working ...
Quick apply
RPLS/SIT- Licensed to Lead!
$77K - $106K/yr
Capable of supervising or coordinating the work of surveyors, technicians, and others who assist in ... RPLS Licensure/DOT Precertification - SIT will also be considered * Strong Computer Skills, working ...
RPLS/SIT- Licensed to Lead!
Houston, TX · On-site
$77K - $106K/yr
Capable of supervising or coordinating the work of surveyors, technicians, and others who assist in ... RPLS Licensure/DOT Precertification - SIT will also be considered * Strong Computer Skills, working ...
RPLS/SIT- Licensed to Lead!
Houston, TX · On-site
$77K - $106K/yr
Capable of supervising or coordinating the work of surveyors, technicians, and others who assist in ... RPLS Licensure/DOT Precertification - SIT will also be considered * Strong Computer Skills, working ...
Patient Access Representative (FT)
Victoria, TX · On-site
$12.75 - $16.25/hr
Answers phone promptly, communicates with nursing units and House Supervisors regarding needed beds ... precertification, and medical necessity according to specific payer guidelines. (EF) * Obtains ...
Patient Access Representative (FT)
Victoria, TX · On-site
$12.75 - $16.25/hr
Answers phone promptly, communicates with nursing units and House Supervisors regarding needed beds ... precertification, and medical necessity according to specific payer guidelines. (EF) * Obtains ...
Physician Patient Access Representative (FT)
Victoria, TX · On-site
$12.75 - $16.25/hr
Answers phone promptly, communicates with nursing units and House Supervisors regarding needed beds ... precertification, and medical necessity according to specific payer guidelines. (EF) * Obtains ...
Physician Patient Access Representative (FT)
Victoria, TX · On-site
$12.75 - $16.25/hr
Answers phone promptly, communicates with nursing units and House Supervisors regarding needed beds ... precertification, and medical necessity according to specific payer guidelines. (EF) * Obtains ...
Financial Counselor
Kingwood, TX · On-site
Generate insurance verification and precertification reports daily and follow up with case ... Escalates any concerns as needed to Patient Access Manager/Supervisor * Enter pertinent insurance ...
Financial Counselor
Kingwood, TX · On-site
Generate insurance verification and precertification reports daily and follow up with case ... Escalates any concerns as needed to Patient Access Manager/Supervisor * Enter pertinent insurance ...
Financial Counselor
Lewisville, TX · On-site
Generate insurance verification and precertification reports daily and follow up with case ... Escalates any concerns as needed to Patient Access Manager/Supervisor * Enter pertinent insurance ...
Financial Counselor
Lewisville, TX · On-site
Generate insurance verification and precertification reports daily and follow up with case ... Escalates any concerns as needed to Patient Access Manager/Supervisor * Enter pertinent insurance ...
RPLS/SIT- Licensed to Lead!
Houston, TX · On-site
$77K - $106K/yr
Capable of supervising or coordinating the work of surveyors, technicians, and others who assist in ... RPLS Licensure/DOT Precertification - SIT will also be considered * Strong Computer Skills, working ...
RPLS/SIT- Licensed to Lead!
Houston, TX · On-site
$77K - $106K/yr
Capable of supervising or coordinating the work of surveyors, technicians, and others who assist in ... RPLS Licensure/DOT Precertification - SIT will also be considered * Strong Computer Skills, working ...
Supervises and/or performs Check-In, Check-Out, scheduling, insurance verification/precertification and payment collection process as required due to office demands. * Partners with Operations and ...
Supervises and/or performs Check-In, Check-Out, scheduling, insurance verification/precertification and payment collection process as required due to office demands. * Partners with Operations and ...
Supervises and/or performs Check-In, Check-Out, scheduling, insurance verification/precertification and payment collection process as required due to office demands. * Partners with Operations and ...
Supervises and/or performs Check-In, Check-Out, scheduling, insurance verification/precertification and payment collection process as required due to office demands. * Partners with Operations and ...
Supervises and/or performs Check-In, Check-Out, scheduling, insurance verification/precertification and payment collection process as required due to office demands. * Partners with Operations and ...
Supervises and/or performs Check-In, Check-Out, scheduling, insurance verification/precertification and payment collection process as required due to office demands. * Partners with Operations and ...
Supervises and/or performs Check-In, Check-Out, scheduling, insurance verification/precertification and payment collection process as required due to office demands. * Partners with Operations and ...
Supervises and/or performs Check-In, Check-Out, scheduling, insurance verification/precertification and payment collection process as required due to office demands. * Partners with Operations and ...
Patient Access Representative - DFW
Arlington, TX · On-site
$15.75 - $20/hr
... precertification and fax duties as assigned. · Follows all clinic policies on safety and security ... or department supervisor. WORK EXPERIENCE · Minimum 1-3 years of relevant medical office ...
Quick apply
Patient Access Representative - DFW
Arlington, TX · On-site
$15.75 - $20/hr
... precertification and fax duties as assigned. · Follows all clinic policies on safety and security ... or department supervisor. WORK EXPERIENCE · Minimum 1-3 years of relevant medical office ...
Assessment Specialist PRN
Georgetown, TX · On-site
... precertification of care with external payers, as necessary. reports to- assessment manager/supervisor Essential Functions * Facilitates response to a request for services, including the initial ...
Assessment Specialist PRN
Georgetown, TX · On-site
... precertification of care with external payers, as necessary. reports to- assessment manager/supervisor Essential Functions * Facilitates response to a request for services, including the initial ...
Benefit Verification Specialist - DFW
Arlington, TX · On-site
$15.50 - $19/hr
Conduct pre-visit chart preparation, precertification and fax duties as assigned. * Responsible for ... All other duties as assigned by Practice Administrator or department supervisor. WORK EXPERIENCE
Quick apply
Benefit Verification Specialist - DFW
Arlington, TX · On-site
$15.50 - $19/hr
Conduct pre-visit chart preparation, precertification and fax duties as assigned. * Responsible for ... All other duties as assigned by Practice Administrator or department supervisor. WORK EXPERIENCE
Referral Coordinator (69269)
Katy, TX · On-site
$16.50 - $21.50/hr
Obtaining necessary pre-authorization or precertification from insurance providers. * Documentation ... Supervisory Responsibilities This position has no supervisory responsibilities. Required Education
Referral Coordinator (69269)
Katy, TX · On-site
$16.50 - $21.50/hr
Obtaining necessary pre-authorization or precertification from insurance providers. * Documentation ... Supervisory Responsibilities This position has no supervisory responsibilities. Required Education
Referral Coordinator (69273)
Katy, TX · On-site
$16.50 - $21.50/hr
Obtaining necessary pre-authorization or precertification from insurance providers. * Documentation ... Supervisory Responsibilities This position has no supervisory responsibilities. Required Education
Referral Coordinator (69273)
Katy, TX · On-site
$16.50 - $21.50/hr
Obtaining necessary pre-authorization or precertification from insurance providers. * Documentation ... Supervisory Responsibilities This position has no supervisory responsibilities. Required Education
Referral Coordinator (69271)
Katy, TX · On-site
$16.50 - $21.50/hr
Obtaining necessary pre-authorization or precertification from insurance providers. * Documentation ... Supervisory Responsibilities This position has no supervisory responsibilities. Required Education
Referral Coordinator (69271)
Katy, TX · On-site
$16.50 - $21.50/hr
Obtaining necessary pre-authorization or precertification from insurance providers. * Documentation ... Supervisory Responsibilities This position has no supervisory responsibilities. Required Education
Patient Access Manager
Dallas, TX · On-site
... supervisor or manager. * Must have experience working with a major patient accounting system ... inpatient notification, precertification and pre-authorization. * Must have knowledge of ...
Patient Access Manager
Dallas, TX · On-site
... supervisor or manager. * Must have experience working with a major patient accounting system ... inpatient notification, precertification and pre-authorization. * Must have knowledge of ...
Referral Coordinator (69269)
Katy, TX · On-site
$16.50 - $21.50/hr
Obtaining necessary pre-authorization or precertification from insurance providers. * Documentation ... Supervisory Responsibilities This position has no supervisory responsibilities. Required Education
Referral Coordinator (69269)
Katy, TX · On-site
$16.50 - $21.50/hr
Obtaining necessary pre-authorization or precertification from insurance providers. * Documentation ... Supervisory Responsibilities This position has no supervisory responsibilities. Required Education
Precertification Supervisor information
What is a precertification supervisor?
Precertification Supervisors are healthcare professionals who oversee the precertification process, ensuring that medical procedures, treatments, and hospital admissions are authorized by insurance providers before they occur. They manage a team of precertification specialists, review complex cases, ensure compliance with insurance guidelines, and collaborate with healthcare providers to gather necessary documentation. Their main goal is to streamline the authorization process, minimize claim denials, and support patient care by ensuring timely approvals.
How does a precertification supervisor typically collaborate with clinical and administrative teams to ensure timely approvals?
A Precertification Supervisor plays a key role in bridging communication between clinical staff, such as nurses and physicians, and administrative teams like billing and insurance coordinators. They coordinate workflows to ensure that documentation is complete and submitted promptly for insurance preauthorizations, minimizing treatment delays for patients. Regular meetings and process updates with both clinical and administrative staff are common, allowing the supervisor to address bottlenecks and implement improvements. This collaborative approach is essential for maintaining compliance and achieving efficient patient care delivery.
What are the key skills and qualifications needed to thrive as a precertification supervisor, and why are they important?
A Precertification Supervisor needs a deep understanding of insurance authorization processes, medical terminology, and healthcare regulations, typically backed by a healthcare-related degree and relevant experience. Familiarity with precertification software, electronic health record (EHR) systems, and payer portals is essential, and certifications such as Certified Professional in Healthcare Quality (CPHQ) can be advantageous. Strong leadership, attention to detail, and effective communication are crucial for managing teams and ensuring accurate, timely approvals. These skills ensure that patients receive necessary care without delays, reduce claim denials, and support organizational compliance.
What is the difference between Precertification Supervisor vs Preauthorization Coordinator?
| Aspect | Precertification Supervisor | Preauthorization Coordinator |
|---|---|---|
| Credentials | Typically requires relevant healthcare certifications, experience in insurance or medical billing | Often requires similar certifications, with a focus on insurance verification and authorization procedures |
| Work Environment | Supervises team members in healthcare or insurance settings, overseeing precertification processes | Handles day-to-day authorization requests, working closely with providers and insurance companies |
| Employer & Industry | Hospitals, insurance companies, healthcare providers | Medical offices, clinics, insurance firms |
The Precertification Supervisor oversees the precertification process and manages staff, while the Preauthorization Coordinator handles the direct authorization requests. Both roles require similar credentials and work within healthcare and insurance environments, but differ in scope and responsibilities.
What cities in Texas are hiring for Precertification Supervisor jobs?
Cities in Texas with the most Precertification Supervisor job openings:
Lead, Medical Practice Office (2814)
North Richland Hills, TX • On-site
US Heart & Vascular
Full-time
PTO
Re-posted 22 days ago
Job description
US Heart and Vascular is in need of a Medical Practice Office Lead to join our HeartPlace clinic in North Richland Hills, TX.
Responsibilities:
- Responsible for all office scheduling; physician, patient and front-office employee related.
- Ensures efficient function of the office through proper employee scheduling. Working with back-office coordinator for back-office staff, accepts, considers and approves/denies employee requests for PTO.
- Ensures all employees are correctly administering time sheets. Ensures time submitted for payment is accurate and complies with Company policy. Approve time for payment in a timely manner.
- Supervises and/or performs Check-In, Check-out, scheduling, insurance verification/precertification and payment collection process as required due to office demands.
- Responds to patient account inquiries (check for accurate ins. Reimbursement & open charges.
- Negotiates and arranges financial arrangements w/patients.
- Oversees or performs scheduling hospital procedures/test, doing orders & precertification.
- Works with Operations and Human Resources to assist in resolving office issues, employee performance or policy issues, and/or employee concerns.
- Responsible for initiating the evaluation paperwork process including instructing staff on the self-evaluation process and offering input on employee performance in relevant categories.
- Assists with the management of, and oversees, the OSHA and HIPAA requirements for the clinic
Requirements:
- High School diploma or equivalent.
- 2-4 years medical office experience to include heavy scheduling experience: physician, patient and employee related
- Supervisory experience: strong employee relations skills
Why Choose Us?
- Comprehensive benefits package
- Monday-Friday schedule
- CME allowance
About Dallas/Fort Worth TX:
Dallas/Fort Worth, known as the Metroplex, offers a vibrant urban life and peaceful suburban living, making it an enticing place to reside. Spanning across ten major cities and thirteen counties, it stands as the largest metroplex in the south. With its extensive range of recreational parks, renowned dining scene, five professional sports teams to root for, and two bustling airports facilitating over 2,000 daily flights, Dallas/Fort Worth provides residents with a multitude of reasons to consider it an excellent place to call home.