Precertification Specialist IThe Precertification Specialist I is responsible for verifying patient demographics and insurance benefits, assuring authorizations for service are in place, and informing patient of estimated payment amount. The Precertification Specialist I maintains a resource schedule and acts as a liaison with the patient, provider, physician, and insurance companies.ResponsibilitiesEnsures completeness and integrity of patient registrationVerifies and documents patient demographics, guarantors, and insurance informationValidates correct insurance at the time of registration and maintains a 4% or less error rateCompletes the pre-admission processes specific to assignmentMonitors schedules of assigned areas for added tests or proceduresDocuments all accounts with pertinent information not limited to follow-up needed by hospital personnelPerforms financial processes and communicates patient's responsibilityCreates estimates of charges based on available information and collects pre-payments when necessaryCommunicates financial options to patients prior to testing with possible referral to Financial CounselorsScreens testing urgency based on patient's ability to payBalances cash sheets and auditsAssures the MHG financial policy qualifications are metMonitors authorization status and alerts Provider Staff or Precertification Specialist II if not received at least 3 days prior to date of serviceObtains copies of authorizations for non-MHG providers to receive reimbursement for MHGCommunicates with provider to modify testing/procedure orders to a medically necessary diagnosis based on payer guidelinesQualificationsEducation RequirementRequired: High School Diploma or GED equivalentPreferred: Certification or vocational trainingExperience RequirementRequired: Minimum of one year previous clerical experiencePreferred: Minimum years of relevant experience 2-4Knowledge of:Admitting procedures, insurance coverage and billing requirementsGeneral office procedures and equipmentBilling and collections regulationsSkills in:Proficiency with general office equipment and Microsoft office applicationsPreparing and maintaining records, files, and reportsData entry with minimal errorsAbility to:Work independently as well as with a teamCommunicate effectively in both oral and written formsMulti-task and prioritizeWork Environment and Physical Requirements:Work is generally performed in a hospital environment. Frequent reaching, sitting, walking, and standing may be required. No special coordination beyond that used for normal mobility and handling of everyday objects and materials is needed to perform the job.Job InfoJob Identification 27695Job Category Clerical & Admin SupportPosting Date 03/09/2026, 01:46 PMJob Schedule Full timeJob Shift DayLocations Biloxi Annex 220 Popps Ferry Road