Hire the right healthcare staff with speed and precision locally or nationwide.

Learn More

How to Cost-Effectively Build a Nursing Staff in an Age of Travel Nursing

Uncover alternative and sustainable staffing solutions to address nursing shortages

Read the article

Life Sciences

Hire skilled life sciences talent by partnering with a nationwide recruitment agency with local market expertise.

Current Trends in the Life Sciences Job Market

Learn how partnering with a staffing agency is a powerful way to combat the challenges of hiring in the current life sciences job market

Read the article


Execute critical healthcare IT initiatives with increased flexibility and cost-effectiveness with us at your side.

The Technology Hiring Outlook: What We're Seeing Right Now

Uncover how to handle an employee-led technology market.

read the article

For JobSeekers

Match your unique skills with in-demand jobs at growing organizations.

Learn More

Resource Center

Explore our library of insights and tips designed to help healthcare leaders and job candidates align.

Explore resources

About Us

We’re positively impacting lives as a leading provider of workforce solutions for clients and talent.

Learn More

Back to jobs

PreCertification Representative

Posted: September 21, 2023
Salary:US$20.00 - US$24.00 per hour + Health, dental, vision, PTO and sick time
Location:Cheltenham Township
Job type: Contract
Work Location:On-site

Job description

Medix is seeking an experienced precertification representative. This is an onsite, contract to hire position.

This position is responsible for confirming and satisfying all authorization billing requirements by obtaining the appropriate precertification/authorization from all necessary payers to avoid delays in treatment/payment penalties. Responsible
to confirm the financial/insurance information obtained during the registration process to determine that State, Federal and Third Party precertification/billing requirements are met to ensure optimal reimbursement for services to be

Job Responsibilities

  • PreCertification reviews and verifies scheduled services utilizing appropriate clinical/registration systems and ensures that all authorization/precertification requirements are completed and available.
  • Reviews the patient record to determine completeness of the information gathered to ensure it is complete based upon Federal and Third Party billing requirements.
  • Verifies medical insurance coverage including effective dates to determine and facilitate all precertification and, authorization requirements.
  • Pre-certify outpatient procedures and radiology services as required by insurance companies for scheduled appointments & in office procedures.
  • Monitors reports/work lists to ensure all scheduled patient hospital services are reviewed/authorized prior to service delivery.
  • Follows up with insurance companies and providers to obtain resolution of authorization/denial issues.
  • Notify payers of inpatient admissions when necessary.
  • Communicates to registration, billing and physicians concerning authorization/pre-certification/referrals when necessary.
  • Appropriately refers patients requiring financial counseling.