What are the responsibilities and job description for the Pre-Cert Specialist II position at Mercy?
We're a Little Different.
Our mission is clear: to bring to life a healing ministry through compassionate care and exceptional service.
Job Description
The Pre-Cert Specialist 2 plays a crucial role in maintaining information flow for managed care procedure pre-certification across all contracted health plans.
This position performs duties and responsibilities in alignment with our mission, values, and Mercy Service Standards.
Key Responsibilities
- Maintain accurate and timely information flow for pre-certification procedures.
- Ensure compliance with managed care health plan requirements.
- Collaborate with staff, doctors, nurses, patients, and managed care representatives to develop effective relationships.
Qualifications
- Education: High School Diploma required
- Licensure: LPN licensure preferred; however, see experience qualification for non-LPNs.
- Experience:
- LPNs: six or more months of nursing experience, preferably in a clinic setting.
- Medical Assistants: two or more years of experience in a clinic setting.
- Pre-Cert Specialists I: two or more years of experience in a clinic setting.
Benefits
We offer comprehensive benefits, including day-one coverage, PTO, tuition reimbursement, and employer-matched retirement funds.
Ours is a supportive community that will be behind you every step of your day, especially the tough ones.
You'll have opportunities to pioneer new models of care and transform the healthcare experience through advanced technology and innovative procedures.
What Makes You a Good Fit?
Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is essential to our mission and vision.
We're collaborative and unafraid to do a little extra to deliver excellent care – that's just part of our commitment.
