Pre-Certification Manager

Overseeing the entire operation of the Pre-Cert team, the full-time Pre-Certification Manager will manage daily schedules, ensure compliance with payer policies, and focus on process improvements while working remotely. Key responsibilities Oversee daily Pre-Cert operations to ensure timely and accurate eligibility verification, pre-certifications, and patient estimates Act as the lead contact with vendor partners to address outstanding cases and prevent disruptions in patient care or revenue loss Audit completed cases for compliance and partner with the Accounts Receivable team on denials related to pre-certifications Required qualifications Minimum High School Diploma or GED required At least five (5) years of experience in Pre-Certification, Medical Front Office, or Medical Billing Experience working remotely is highly preferred Proficient knowledge of Medical Terminology, ICD, and CPT Codes Ability to effectively manage tasks and meet deadlines while working independently