Reviews and resolves pre-authorization/pre-certification issues. Responsible for notifying appropriate hospital personnel of insurance and benefit updates and changes, upon discovery. Responsible for ...
Reviews and resolves pre-authorization/pre-certification issues. Responsible for notifying appropriate hospital personnel of insurance and benefit updates and changes, upon discovery. Responsible for ...
You will partner with managed care to verify coverage and pre-certification, and document discussions in EPIC. In this role you will interview patients, collect information, determine eligibility for ...
You will partner with managed care to verify coverage and pre-certification, and document discussions in EPIC. In this role you will interview patients, collect information, determine eligibility for ...
You will partner with managed care to verify coverage and pre-certification, and document discussions in EPIC. In this role you will interview patients, collect information, determine eligibility for ...
You will partner with managed care to verify coverage and pre-certification, and document discussions in EPIC. In this role you will interview patients, collect information, determine eligibility for ...
Insurance Verification and Prior Auth Specialist
Columbus, OH · On-site
$16.50 - $20.25/hr
Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for patients. Follows up with internal departments, physician offices ...
Insurance Verification and Prior Auth Specialist
Columbus, OH · On-site
$16.50 - $20.25/hr
Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for patients. Follows up with internal departments, physician offices ...
Insurance Verification and Prior Auth Specialist
$16.50 - $20.25/hr
Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for patients. Follows up with internal departments, physician offices ...
Quick apply
Insurance Verification and Prior Auth Specialist
$16.50 - $20.25/hr
Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for patients. Follows up with internal departments, physician offices ...
Clinical Financial Case Mgr - RN
Columbus, OH · On-site +1
The Financial aspect of the role involves acquiring knowledge of Managed Care, Scheduling, Financial Counseling, Pre-Certification, Admissions/Discharges/Transfers, Clinical workflows and ...
Clinical Financial Case Mgr - RN
Columbus, OH · On-site +1
The Financial aspect of the role involves acquiring knowledge of Managed Care, Scheduling, Financial Counseling, Pre-Certification, Admissions/Discharges/Transfers, Clinical workflows and ...
Performs advanced verification of insurance, pre-certification, and benefit determination. Job Qualifications * Education: High School Diploma or GED required; Associates Degree in Healthcare ...
Performs advanced verification of insurance, pre-certification, and benefit determination. Job Qualifications * Education: High School Diploma or GED required; Associates Degree in Healthcare ...
Patient Services Rep- Broadway; 80hrs Biweekly; Day/Evening
Broadway, OH · On-site
$16.75 - $21.25/hr
Ensures appropriate patient registration, scheduling, pre-certification and authorization for services. Upholds the mission, vision, values, and customer service standards of The MetroHealth System.
Patient Services Rep- Broadway; 80hrs Biweekly; Day/Evening
Broadway, OH · On-site
$16.75 - $21.25/hr
Ensures appropriate patient registration, scheduling, pre-certification and authorization for services. Upholds the mission, vision, values, and customer service standards of The MetroHealth System.
Areas within the Revenue Cycle include pre-registration, registration, pre-certification, financial clearance and counseling, financial assistance, scheduling, billing, claims follow-up, customer ...
Areas within the Revenue Cycle include pre-registration, registration, pre-certification, financial clearance and counseling, financial assistance, scheduling, billing, claims follow-up, customer ...
Patient Care Coordinator II
Upper Arlington, OH · On-site
$15.50 - $20.50/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Upper Arlington, OH · On-site
$15.50 - $20.50/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
$17 - $22.25/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
$17 - $22.25/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Upper Arlington, OH · On-site
$15.50 - $20.50/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Upper Arlington, OH · On-site
$15.50 - $20.50/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Columbus, OH · On-site
$16.25 - $21.50/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Columbus, OH · On-site
$16.25 - $21.50/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Grove City, OH · On-site
$16.50 - $21.50/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Grove City, OH · On-site
$16.50 - $21.50/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Westerville, OH · On-site
$17 - $22.25/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Westerville, OH · On-site
$17 - $22.25/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Westerville, OH · On-site
$17 - $22.25/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Westerville, OH · On-site
$17 - $22.25/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Grove City, OH · On-site
$16.50 - $21.50/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Grove City, OH · On-site
$16.50 - $21.50/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Grove City, OH · On-site
$16.50 - $21.50/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Patient Care Coordinator II
Grove City, OH · On-site
$16.50 - $21.50/hr
Obtains insurance pre-certification as needed for diagnostic procedures, treatment, medication, or surgery. * Books surgery and completes all associated surgery paperwork, prepares consents, etc.
Ambulatory Patient Access Representative-Perioperative Services
Columbus, OH · On-site
$16.75 - $21.25/hr
Screens registrations to ensure insurance pre-certification and physician referral requirements are met. Instructs customer on requirements. * Assists in identifying self-pay patients and referring ...
Ambulatory Patient Access Representative-Perioperative Services
Columbus, OH · On-site
$16.75 - $21.25/hr
Screens registrations to ensure insurance pre-certification and physician referral requirements are met. Instructs customer on requirements. * Assists in identifying self-pay patients and referring ...
Ambulatory Patient Access Representative - Neurosurgery
Columbus, OH · On-site
$16 - $20.50/hr
Screens registrations to ensure insurance pre-certification and physician referral requirements are met. Instructs customer on requirements. * Assists in identifying self-pay patients and referring ...
Ambulatory Patient Access Representative - Neurosurgery
Columbus, OH · On-site
$16 - $20.50/hr
Screens registrations to ensure insurance pre-certification and physician referral requirements are met. Instructs customer on requirements. * Assists in identifying self-pay patients and referring ...
Pre Certification information
See salary details
$13.94 - $18.88
15% of jobs
$22.23 is the 25th percentile. Wages below this are outliers.
$18.88 - $23.82
15% of jobs
$23.82 - $28.76
16% of jobs
The median wage is $30.08 / hr.
$28.76 - $33.70
16% of jobs
$33.70 - $38.64
10% of jobs
$40.80 is the 75th percentile. Wages above this are outliers.
$38.64 - $43.58
9% of jobs
$43.58 - $48.51
6% of jobs
$48.51 - $53.45
4% of jobs
$53.45 - $58.39
4% of jobs
$58.39 - $63.33
3% of jobs
$63.33 - $68.27
2% of jobs
$13
$35
$68
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Payer Notification Specialist - Case Management, PRN
Mount Vernon, OH • On-site
Per diem
Re-posted 23 days ago
Knox Community Hospital rating
6.1
Based on 27 frontline employees who took The Breakroom Quiz
849th of 1,064 rated hospitals
Job description
Career Department
Case Management
Status
PRN
Shift
Saturdays and Sundays, 8:00 am - 2:30 pm
Average Weekly Hours
12
Contact
Employment Specialists
Phone
740.393.9612
careers@knoxcommhosp.org
Posting Date
Tue, 07/07/2026 - 12:00pm
JOB SUMMARY
Notifies insurance payers of member admission (and observation if required). Secures all necessary hospital admission and observation /authorizations pre-certifications in a timely manner. Reviews and resolves pre-authorization/pre-certification issues. Responsible for notifying appropriate hospital personnel of insurance and benefit updates and changes, upon discovery. Responsible for gathering and submitting all necessary clinical documentation with pre-certification/authorization initially and as directed by insurance payer and Case Management leadership. Adheres to organizational policies and procedures; regulatory/accrediting body requirements and professional practice standards, including Health Insurance Portability and Accountability Act (HIPPA).
PRIMARY JOB RESPONSIBILITIES
- Comply with all local, state and federal regulations
- Timely submission of patient information
- Verifies that all pre-certification and/or authorizations have been obtained and documented in the HIS system
- Will update authorization or pre-certification as needed
- Assumes responsibility and accountability for individual knowledge, skills, performance and behavior in accordance with hospital, division and department standards of care and policies and procedures
- Utilizes measures to promote and maintain patient, visitor and personnel safety
- Maintains patient, employee, physician and organization confidentiality; respects the rights, privacy and property of others
- Supports the mission, values and vision of the organization
ADDITIONAL RESPONSIBILITIES
- Assists in the orientation and training of new personnel
- Demonstrates knowledge of disaster/emergency procedures and responds appropriately
- Maintain effective communication with all internal and external customers providing outstanding quality of service
- Perform tasks that are supportive in nature to the essential functions of the job
- Participate in staff meetings, educational programs, committees, QI activities and mandatory in-services
- Demonstrate initiative in personal/professional development
- Presents a professional image
- Assist with costs through the judicious use of human and material resources
- Other duties as assigned
Requirements Include
EDUCATION AND WORK EXPERIENCE
- High School Diploma
- Medical terminology, ICD10 and CPT coding skills required.
- Knowledge of third party payer processes preferred and compliance regulations processes
- Knowledge of Medicare and Medicaid payers
- 3-5 years healthcare experience required
- Experience with insurance authorizations preferred
KNOWLEDGE AND SKILLS
- Must be able to problem-solve multi-task and work independently
- Must have outstanding customer service and telephone communication skills
- Must be able to adjust to change
- Must be PC literate with skills in windows, email and internet navigation
- Must be able to type
- Must be able to perform professionally during high stress and high patient volume times
What Knox Community Hospital employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Knox Community Hospital
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Mount Vernon, OH, US