medical certification specialist

Trinity Health-ND

<div>Position Summary:
The Pre-Certification Specialist verifies patient insurance benefits and secures required authorizations to support the timely and compliant delivery of clinical services at Trinity Health. This role reviews payer guidelines, coordinates closely with clinical departments, and communicates with insurance companies to ensure hospital stays and outpatient services are authorized appropriately. Working as part of a collaborative revenue cycle and care coordination team, the Pre-Certification Specialist helps minimize reimbursement risk by obtaining accurate and complete pre certifications. Through attention to detail, clear communication, and dependable follow-through, this position contributes to efficient operations and supports a positive patient experience by ensuring financial processes are handled promptly and accurately.
Key Responsibilities:<ul><li>
Verify insurance eligibility and coverage for scheduled and unscheduled services using payer websites, electronic systems, and direct communication with insurance representatives.</li><li>
Obtain required authorizations for inpatient admissions, extended stays, outpatient procedures, and diagnostic testing in accordance with each payer&rsquo;s rules.</li><li>
Document authorization details accurately and promptly in the appropriate Trinity Health systems to support billing and clinical workflows.</li><li>
Communicate with clinical departments, schedulers, providers, and the Business Office to clarify requirements and resolve authorization-related issues.</li><li>
Monitor high-volume workloads, prioritize tasks, and follow up on pending authorizations to ensure timely completion.</li><li>
Maintain working knowledge of payer policies, CPT/ICD-10 coding concepts, and medical terminology to support accurate precertification activities.</li></ul>
Licenses and Certifications Required:<ul><li>
None</li></ul>
Educational Requirements:<ul><li>
High School diploma or equivalent preferred.</li></ul>
Experience Requirements:<ul><li>
Experience with third party payer billing regulations, reimbursement requirements, precertification, insurance eligibility verification, and/or utilization management is preferred.</li><li>
Working knowledge of CPT/ICD10 and medical terminology is preferred.</li></ul>
Special Skills or Training Requirements:<ul><li>
Demonstrated advanced communication and interpersonal skills with all levels of internal and external customers.</li><li>
Self directed, attention to detail.</li><li>
Computer experience.</li><li>
Ability to navigate numerous websites for eligibility and prior authorization.</li><li>
Working knowledge of Microsoft Office Suite applications including Outlook, Word and Excel.</li><li>
Excellent written and oral communication skills.</li><li>
Ability to handle high workload volume.</li><li>
Must be flexible and demonstrate ability to be adaptable.</li></ul>
Physical Requirements:
The Pre-Certification Specialist primarily works in an office or remote setting requiring prolonged periods of sitting, computer use, and telephone communication. Occasional walking, standing, and light lifting of files or office supplies may be necessary. Adequate vision, hearing, and manual dexterity are essential for reviewing electronic records, entering data, and managing multiple computer applications.
Environmental Requirements:
This position functions in a structured office or remote work environment with frequent interaction with internal departments, insurance payers, and clinical staff. The role involves managing multiple tasks, navigating numerous software systems, and meeting time-sensitive deadlines. The specialist must follow organizational privacy, confidentiality, and data security standards when handling protected health information.</div>

Pre-Certification Specialist

Global Tekmed Holdings

<div><div>Medical Interview Specialist 
 
Company Information 
Global TekMed Companies (GTM Companies) is a conglomerate consisting of industry-leading businesses and provides career opportunities in various industries, including Sales, Marketing, IT, Medical, Finance and Accounting. Our reputation is built on years of successful partnerships &mdash; Together, all our companies share one common goal, to generate growth and long-term value for our clients. 
 
Job Classification: Full-time Hourly 
Location: Las Cruces, NM, 88001 / El Paso, TX (HYBRID) 
 
The Medical Interview Specialist&rsquo;s primary responsibility will be conducting medical interviews with Veterans to complete Personal Assessment Questionnaires, simplifying complex medical terms, analyzing the questionnaire to determine if the client qualifies, and scheduling Veterans for medical interviews. As a Medical Interview Specialist, you will also be responsible for adhering to all HIPAA regulations and guidelines, data entry, file management, and other administrative duties. 
 
Responsibilities</div>
<ul><li>Conduct a medical interview with Veterans on specific service-connected disabilities and transcribe that information onto the appropriate Personal Assessment Questionnaires.</li></ul>
<ul><li>Utilize a remote access software system to complete the information.</li></ul>
<ul><li>Simplify complex medical terms and ensure the Veteran understands each question.</li></ul>
<ul><li>Schedule Veterans for medical interview appointments</li></ul>
<ul><li>Review all supporting medical evidence provided by the Veteran.</li></ul>
<ul><li>Follow HIPPA guidelines when handling client personal information.</li></ul>
<ul><li>Effectively communicate and collaborate with affiliate companies assisting the Veterans.</li></ul>
<ul><li>Ensure that calls are performed with empathy, professionalism, and respect.</li></ul>
<ul><li>Properly manage and maintain client files and all associated documentation.</li></ul>
<ul><li>Maintaining employee attendance and departmental schedules</li></ul>
<ul><li>Maintaining pipeline management &amp; Live Transfers</li></ul>
<ul><li>Assist with developing new software to improve our process.</li></ul>
<ul><li>Departmental training and documentation.</li></ul>
<ul><li>Audit department calls for quality assurance.</li></ul>
<ul><li>Onboard new hires.</li></ul>
<ul><li>Create weekly departmental and team progress reports.</li></ul>
<ul><li>Develop and monitor departmental KPIs and team accountability.</li></ul>
<div></div><div>Minimal Experience Requirements:</div>
<ul><li>Previous medical field experience is preferred.</li></ul>
<ul><li>Proficient medical terminology, anatomy, and physiology knowledge.</li></ul>
<ul><li>Ability to understand and translate complex medical terminology into layman&rsquo;s terms.</li></ul>
<ul><li>Excellent verbal and written communication skills.</li></ul>
<ul><li>Proficient computer skills, including Microsoft Office and software systems.</li></ul>
<ul><li>Detail-oriented and proofreading skills.</li></ul>
<ul><li>Able to work independently at a fast pace and meet deadlines.</li></ul>
<ul><li>Excellent time management skills and ability to multi-task and prioritize work.</li></ul>
<ul><li>Minimum typing speed of 60 wpm.</li><li>Customer service experience.</li><li>Excellent phone etiquette.</li></ul>
 
Minimal Education Requirements: 
<ul><li>High school degree: Similar Experience is a plus.</li></ul></div>

Medical Interview Specialist (REMOTE)

INTEGRATED HEALTH CARE

Overview Join our dynamic healthcare team as a Medical Intake Verification Specialist! In this vital role, you will be the first point of contact for patient information, ensuring accuracy and compliance during the intake process. Your energetic approach and attention to detail will help streamline patient onboarding, verify insurance coverage, and facilitate seamless communication between patients, providers, and insurance companies. This position offers an exciting opportunity to contribute to high-quality patient care while working in a fast-paced, supportive environment committed to excellence.Duties<ul><li>Verify patient insurance coverage through insurance portals and documentation, ensuring all details are current and accurate.</li><li>Review medical records and documentation for completeness, consistency, and compliance with HIPAA regulations.</li><li>Confirm patient demographics and medical history information during intake calls or in-person visits.</li><li>Utilize medical coding knowledge, including CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding systems, to accurately classify diagnoses and procedures.</li><li>Collaborate with medical offices and insurance providers to resolve discrepancies or missing information promptly.</li><li>Maintain detailed records of verification processes, updates, and communications in accordance with office policies.</li><li>Support the team by assisting with administrative tasks related to medical records management and appointment scheduling as needed.</li></ul>Experience<ul><li>Prior experience working in a medical office setting or healthcare environment is highly preferred.</li><li>Knowledge of managed care processes and insurance verification procedures is essential.</li><li>Familiarity with medical terminology, medical records management, and medical coding practices is required.</li><li>Experience with HIPAA compliance standards to ensure patient confidentiality is maintained at all times.</li><li>Strong organizational skills with attention to detail; ability to handle sensitive information discreetly.</li><li>Proficiency with office software applications and electronic health record (EHR) systems. This role is perfect for motivated professionals eager to make a difference in patient care through precise verification processes! We are dedicated to fostering a positive work environment where your skills are valued, your growth is supported, and your contributions directly impact the quality of healthcare delivery.</li></ul>Pay: $18.00 - $19.00 per hourBenefits:<ul><li>Flexible schedule</li><li>Retirement plan</li></ul>Work Location: In person

Medical Intake Verification Specialist

Write RN

We are seeking a highly qualified Certified Medical Assistant (CCMA) to serve as a Subject Matter Expert for a comprehensive certification prep review. In this role, you will ensure our study materials reflect the highest standards of clinical accuracy and current practice guidelines.Key Responsibilities:<ul><li>Review and update 100+ study cards and 100 practice questions.</li><li>Incorporate recent practice changes and updates in standards of care.</li><li>Utilize provided resources, including the Certification Outline and existing test materials, to provide detailed feedback.</li><li>Complete the full review within a 3&ndash;4 week timeline.</li></ul>Qualifications:<ul><li>Must hold a current CCMA certification (Please ensure this is clearly listed on your resume).</li><li>Strong background in medical assistant education or clinical practice.</li><li>Acute attention to detail and ability to meet strict deadlines.</li></ul>Pay: $500.00 per monthLicense/Certification:<ul><li>CCMA Certification (Required)</li><li>RN License (Required)</li></ul>Work Location: Remote

Subject Matter Expert (SME) – CCMA (Certified Medical Assistant)

Quest Diagnostics

<div>Medical Courier &ndash; Specialty - Rolla, MO, Monday to Friday, 9:30 AM to 6:00 PM 


Drive health forward &mdash; with a career that goes the distance. 


At Quest Diagnostics, your deliveries don&rsquo;t just move packages&mdash;they move healthcare forward. Join a trusted team of professionals ensuring life-saving diagnostics reach patients quickly and safely. You&rsquo;ll be the face of our diagnostic services, helping ensure that every test gets to where it needs to go, accurately and on time. If you&rsquo;re reliable, customer-focused, and love being on the road, this role is for you. 


Why choose Quest over the rest?
<ul>
<li>You&rsquo;ll make a real difference in people&rsquo;s lives &ndash; every day</li>
<li>Work independently in a mobile role with a predictable route</li>
<li>Exceptional benefits from day one, including: medical, dental, vision, life insurance, wellness programs, short- and long-term disability, 401(k) with company match, and employee stock purchase plan, based on eligibility</li>
<li>Career advancement opportunities through internal mobility and continuous development</li>
<li>Predictable hours to support work-life balance</li>
<li>Mission-driven work &mdash; your role directly supports patient care and medical diagnostics</li></ul> 


Pay range: $18.50+ per hour

Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.<div>
<div><div><div>Quest Diagnostics honors our service members and encourages veterans to apply. 
 
While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume. 
 
Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.</div>
</div> 
</div></div>What you&rsquo;ll do:
<ul>
<li>Pick up, transport, and deliver medical specimens and lab materials; may be asked to cover additional routes as needed</li>
<li>Communicate professionally with doctors, nurses, and lab staff to ensure timely deliveries</li>
<li>Safely operate a company-provided vehicle (non-CDL)</li>
<li>Use handheld scanners, route software, and mobile apps to track deliveries</li>
<li>Ensure proper specimen handling, labeling, storage, and documentation</li>
<li>Comply with all DOT, HIPAA, OSHA, and internal safety standards</li>
<li>Complete office and logistics operations tasks as needed, including training team members, packing and shipping specimens for flights, and other related duties</li>
</ul>
What you need:
<ul>
<li>A valid driver&rsquo;s license with less than three moving violations within the past three years</li>
<li>Great customer service and communication skills</li>
<li>Strong attention to detail, with reliable documentation skills</li>
<li>Ability to work independently and problem-solve on the road</li>
<li>Comfortable using mobile devices or scanning tools</li>
<li>Ability to lift up to 30 lbs. and be on the move for much of your shift</li>
<li>Prior medical, customer service, courier, or logistics experience is strongly preferred 
</li></ul>What we offer:
<ul>
<li>Competitive hourly pay</li>
<li>Annual merit increases and bonus opportunities</li>
<li>Exceptional benefits starting day one &ndash; including medical, dental, vision, and more for eligible roles</li>
<li>Paid time off, 401(k) match, tuition reimbursement, and career advancement</li>
<li>Uniforms provided</li>
<li>Full-time and part-time roles available across the U.S.</li></ul> 


Ready to drive your career forward? 


Apply now and start a meaningful career with one of the most respected names in the diagnostics industry.</div>

Medical Courier - Specialty

<div>Medical Courier &ndash; Specialty - Valdosta, GA, Monday to Friday, 3:00 PM to 11:30 PM 
Drive health forward &mdash; with a career that goes the distance. 
At Quest Diagnostics, your deliveries don&rsquo;t just move packages&mdash;they move healthcare forward. Join a trusted team of professionals ensuring life-saving diagnostics reach patients quickly and safely. You&rsquo;ll be the face of our diagnostic services, helping ensure that every test gets to where it needs to go, accurately and on time. If you&rsquo;re reliable, customer-focused, and love being on the road, this role is for you. 
Why choose Quest over the rest?<ul><li>
You&rsquo;ll make a real difference in people&rsquo;s lives &ndash; every day</li><li>
Work independently in a mobile role with a predictable route</li><li>
Exceptional benefits from day one, including: medical, dental, vision, life insurance, wellness programs, short- and long-term disability, 401(k) with company match, and employee stock purchase plan, based on eligibility</li><li>
Career advancement opportunities through internal mobility and continuous development</li><li>
Predictable hours to support work-life balance</li><li>
Mission-driven work &mdash; your role directly supports patient care and medical diagnostics</li></ul> 
Pay range: $19.72+ per hour; Employee may be eligible to receive shift differential of 10% for some or all hours worked on second shift and 15% for some or all hours worked on third shift. Additional details on shift differential will be provided if an offer is extended. 
Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.<div>
<div><div><div>Quest Diagnostics honors our service members and encourages veterans to apply. 
 
While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume. 
 
Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.</div>
</div> 
</div></div>What you&rsquo;ll do:
<ul>
<li>Pick up, transport, and deliver medical specimens and lab materials; may be asked to cover additional routes as needed</li>
<li>Communicate professionally with doctors, nurses, and lab staff to ensure timely deliveries</li>
<li>Safely operate a company-provided vehicle (non-CDL)</li>
<li>Use handheld scanners, route software, and mobile apps to track deliveries</li>
<li>Ensure proper specimen handling, labeling, storage, and documentation</li>
<li>Comply with all DOT, HIPAA, OSHA, and internal safety standards</li>
<li>Complete office and logistics operations tasks as needed, including training team members, packing and shipping specimens for flights, and other related duties</li>
</ul>
What you need:
<ul>
<li>A valid driver&rsquo;s license with less than three moving violations within the past three years</li>
<li>Great customer service and communication skills</li>
<li>Strong attention to detail, with reliable documentation skills</li>
<li>Ability to work independently and problem-solve on the road</li>
<li>Comfortable using mobile devices or scanning tools</li>
<li>Ability to lift up to 30 lbs. and be on the move for much of your shift</li>
<li>Prior medical, customer service, courier, or logistics experience is strongly preferred 
</li></ul>What we offer:
<ul>
<li>Competitive hourly pay</li>
<li>Annual merit increases and bonus opportunities</li>
<li>Exceptional benefits starting day one &ndash; including medical, dental, vision, and more for eligible roles</li>
<li>Paid time off, 401(k) match, tuition reimbursement, and career advancement</li>
<li>Uniforms provided</li>
<li>Full-time and part-time roles available across the U.S.</li></ul> 


Ready to drive your career forward? 


Apply now and start a meaningful career with one of the most respected names in the diagnostics industry.</div>

northtexasmedicine

<ul><li>Looking for a personal assistant to a physician, documenting all physician-patient encounters in real time, from the start of treatment until it ends. They gather and document information about the patient's visit to deliver the most efficient patient care possible.</li><li>Ability to expertly document patient care and transcribe patient appointments</li><li>Assure the accuracy of all documentation and records</li><li>Advanced computer skills to transcribe and record information across our network</li><li>Keep the privacy of all patient information that you learn throughout your duties</li><li>Strong organizational and time management skills</li><li>Excellent written and verbal communication skills</li><li>NO REMOTE POSITIONS</li></ul>Job Type: Part-timePay: $15.00 - $20.00 per hourWork Location: In person

MEDICAL SCRIBE-FOREIGN MEDICAL GRADUATE PREFERRED

Search 10000+ Medical certification specialist jobs near you this April. New roles added regularly across leading industries. Apply today.

10000 medical certification specialist jobs Near Me

Pre-Certification Specialist

Medical Interview Specialist (REMOTE)

Medical Intake Verification Specialist

Subject Matter Expert (SME) – CCMA (Certified Medical Assistant)

Medical Courier - Specialty

Medical Courier - Specialty

MEDICAL SCRIBE-FOREIGN MEDICAL GRADUATE PREFERRED