Insurance plan understanding jobs

Pre-Certification Specialist

Atlantic Medical Imaging · Posted Nov 11, 2026

West Atlantic City, New Jersey, United States
Hybrid
Full-time · Associate

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Ensuring all outpatient insurance requirements are completed in advance of patient’s scheduled appointment date by evaluating procedures, validating insurance, monitoring authorizations, and managing denials.

Compensation

Offered rates increase based on years of work experience.

Responsibilities

Evaluate patient’s scheduled procedures to determine if prior authorization is required
Review and validate patient insurance information to confirm coverage for scheduled procedures
Monitor authorization request, follow up with payers, and record all communications regarding insurance claims
Review insurance denials, resubmit claims, and submit appeals as necessary
Ensure patient insurance eligibility is verified and authorizations are obtained through insurance portals (e.g., Evicore, etc.)

Skills

Insurance plan understanding Prior authorization process Evicore

Benefits

medical
prescription
dental
vision
flexible spending accounts

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