Insurance Pre-Certification Specialist

Insurance Pre-Certification Specialist | Permanent WFH | Night Shift | Day 1 HMO

Residents & Registrars (Healthcare & Medical)

Join the Healthcare Revolution: Transform Lives with Our International Client Today!

Are you passionate about ensuring patients receive the care they need while navigating the complexities of insurance? Be part of our client’s dynamic team as an  Insurance Pre-Certification Specialist  in the thriving healthcare industry! This role offers the perfect blend of utilizing your expertise and making a global impact from the comfort of your current location. In this role, you will primarily focus on handling pre-certifications, making regular calls to commercial insurance companies to obtain approvals or denials. Your responsibilities will include securing approvals, particularly for ultrasound, heart angiogram, and other procedures, by directly contacting the commercial insurance carriers. Say goodbye to uprooting your life for a career abroad and hello to making your mark in the medical practice industry on a worldwide scale. If you're ready to channel your passion into meaningful work and be part of a team dedicated to excellence, we want to hear from you!

Forge Your Path in Healthcare:

Employment Type: Full-time 

Schedule: Night Shift, 8am-5pm US Central Time (Mon - Fri 08:30 PM to 05:30 AM)

Work Arrangement: Permanent WFH

Vital Abilities for Thriving in Healthcare:

• Mid-level experience in a related field
• Proficiency in using electronic health records (EHR) systems and other healthcare software
• Strong understanding of medical terminology and coding
• Excellent attention to detail and accuracy in data entry
• Ability to prioritize tasks and work efficiently in a fast-paced environment
• Effective communication skills and ability to collaborate with multidisciplinary teams
• Familiarity with HIPAA regulations and commitment to maintaining patient confidentiality
• Strong problem-solving skills and ability to adapt to changing priorities

Your Role: Navigating Healthcare with Precision

Primary Responsibility:

• Handle pre-certifications, making regular calls to commercial insurance companies for approvals/denials.
• Obtain approvals mainly for ultrasound, heart angiogram, and other procedures by contacting the commercial insurance carrier.
• Encode data on insurance carriers such as Blue Cross, Blue Shield, United Health Care for approvals and denials.
• Gather additional information from patients to assist in getting approvals for denials.

Secondary Responsibility:

• Schedule procedures in the hospital, including heart angiograms or peripheral angiograms.
• Act as a liaison between doctors and hospitals.
• Ensure procedures are pre-certified before scheduling.
• Day 1 HMO coverage
• Competitive Package
• Permanent WFH set-up
• Direct exposure to international clients
• Standard government and Emapta benefits
• Well-equipped, modern, and accessible offices
• Mentorship and exposure to global leaders and teams
• Upskilling: Emapta Academy

Meet Our Healthcare Visionaries: Leading the Way in Patient Care

Our client operates as a leading cardiologist and vein treatment center, dedicated to diagnosing and treating conditions pertaining to the heart and blood vessels. Specializing in delivering high-quality, innovative care, our client prioritizes providing patients with accurate diagnoses and the latest, evidence-based treatment options. With a commitment to excellence, our client's facility holds accreditation from the Intersocietal Accreditation Commission (IAC) for nuclear cardiology, ensuring adherence to rigorous standards of quality and safety. Joining our client's team means becoming part of a dynamic healthcare environment focused on delivering cutting-edge treatments and personalized care to patients, making a tangible difference in their lives while advancing your career in cardiac and vascular health.

Who are we?  

Discover a world of possibilities at  Emapta , where your career takes flight in stability and growth. Join a team that thrives on camaraderie, supporting each other to achieve excellence together. Experience the satisfaction of being recognized for your contributions with competitive compensation packages that reflect your skills and commitment. Immerse yourself in a positive work culture that encourages collaboration, innovation, and personal development. We provide you with the platform for your success, empowering you to reach new heights in a supportive and inclusive environment. 

With a wide roster of international clients from various industries and a proven track record of success,  Emapta offers a stable foundation for  your career . Team up with like-minded professionals who are passionate about making a meaningful impact through premium global opportunities at your fingertips. Apply now and create a better future with us. 

#EmaptaExperience 

Your application will include the following questions:

What's your expected monthly basic salary?

At Emapta, we prioritize diversity, inclusion, and equality in our workforce.

We believe that a diverse team fuels innovation and drives success. We embrace individuals' unique backgrounds, experiences, and perspectives, fostering an environment where everyone feels valued and empowered.

Our hiring practices are fair and unbiased, providing equal opportunities for all qualified candidates. We actively seek diverse talent and encourage individuals from underrepresented groups to apply.

Join us in creating a workplace that celebrates diversity, inclusion, and equality to drive positive change for all.

At Emapta, we prioritize diversity, inclusion, and equality in our workforce.

We believe that a diverse team fuels innovation and drives success. We embrace individuals' unique backgrounds, experiences, and perspectives, fostering an environment where everyone feels valued and empowered.

Our hiring practices are fair and unbiased, providing equal opportunities for all qualified candidates. We actively seek diverse talent and encourage individuals from underrepresented groups to apply.

Join us in creating a workplace that celebrates diversity, inclusion, and equality to drive positive change for all.

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