Precert Specialist - Full-time - Germantown, Tn

West Cancer Center

Germantown, TN, United States
Not specified; not specified; comprehensive benefi...
On-site
Three years healthcare insurance experience
Reviewing medical necessity and payer policies
High-volume medical clinic environment experience
West Cancer Center is seeking a Precert Specialist in Germantown, TN, to ensure patients have the necessary precertifications for procedures, drugs, and radiology services. The role requires a minimum of three years of experience in healthcare insurance or medical clinics and offers a supportive, mission-driven work environment with no night, weekend, or holiday shifts

Job Summary

  • The PreCert Specialist serves as a critical front-line defense ensuring patients have required precertification for procedures, drugs, and radiology services.
  • West Cancer Center is a comprehensive institution committed to compassionate care, innovation, and clinical excellence through multidisciplinary teams.
  • The role offers a mission-driven environment with no nights, weekends, or holidays, along with a comprehensive benefits package.

Matching Summary

Match Score: 85

West Cancer Center is seeking a Precert Specialist in Germantown, TN, to ensure patients have the necessary precertifications for procedures, drugs, and radiology services. The role requires a minimum of three years of experience in healthcare insurance or medical clinics and offers a supportive, mission-driven work environment with no night, weekend, or holiday shifts.

Salary

Not specified; Not specified; Comprehensive benefits package

Skills & Requirements

Must-have

  • Three years healthcare insurance experience
  • Reviewing medical necessity and payer policies
  • High-volume medical clinic environment experience
  • Knowledge of ICD-10 CPT HCPCS coding systems

Nice-to-have

  • Experience with chemotherapy precertifications
  • Experience with radiology precertifications
  • Strong problem-solving skills
  • Excellent written and verbal communication

Key Requirements

  • High school diploma or equivalent
  • Minimum three years' experience in healthcare insurance
  • Experience reviewing medical coverage criteria

Work Rights

Not specified

Tailored Resume

Cover Letter