Top 3 Revenue cycle specialist Jobs in Columbia Mo

Precertification Specialist
Columbia Orthopaedic Group, L.L.P. —Columbia, MO
- Full-time
- Research
- Mid-level
- High school diploma or GED
Medical Support Assistant (Advanced)
US Veterans Health Administration —Columbia, MO
- $53,532 - $69,591 a year
- Online Application
- Background check
- Writing skills
- Pass drug screening
- Paid parental leave
- Paid holidays
6d

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Accounts Receivable Accountant
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A high school diploma or GED is required, a bachelor's degree, is preferred. The Billing Specialist is responsible for processing client billing and supporting…
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Precertification Specialist

Columbia Orthopaedic Group, L.L.P. -
Columbia, MO

Apply Now

Job Details

Full-time

Qualifications

High school diploma or GED

Full Job Description

Columbia Orthopaedic Group

Helping patients get the care they need starts before they ever arrive. If you're someone who enjoys solving insurance puzzles, staying organized, and making sure every detail is in place before care begins, you'll thrive in this role.

Why This Role Is Different

The Precertification Specialist plays a vital role in ensuring patients receive timely care by securing insurance approvals before services are provided. Working behind the scenes, you'll partner with providers, clinical teams, and insurance companies to remove barriers and keep care moving forward.

This position combines problem-solving, communication, and attention to detail to support both an exceptional patient experience and a healthy revenue cycle.

About the Role

The Precertification Specialist is responsible for obtaining prior authorizations and precertifications for medical procedures, treatments, and services. This role helps ensure patients are financially and clinically prepared for care while minimizing authorization delays and insurance denials.

Success in this role requires strong organizational skills, knowledge of insurance processes, and the ability to manage multiple priorities in a fast-paced healthcare environment.

What You Will Do

Submit, monitor, and follow up on prior authorization and precertification requests with insurance providers
Verify patient insurance eligibility, benefits, and coverage requirements prior to scheduled services
Review clinical documentation and collaborate with providers to ensure authorization requirements are met
Communicate with patients, providers, and insurance companies regarding authorization status and resolve issues as they arise
Research authorization denials, coordinate appeals when appropriate, and maintain accurate documentation within the electronic medical record (EMR)
Partner with scheduling, billing, and clinical teams to support timely approvals and reduce delays in patient care

Who Thrives in This Role

You enjoy solving problems and navigating complex insurance requirements
You are highly organized and able to manage multiple deadlines simultaneously
You communicate confidently with patients, providers, and insurance representatives
You take pride in accuracy and understand how your work supports both patients and the organization

High school diploma or equivalent required
Minimum of two (2) years of experience in precertification, insurance verification, or medical billing required
Associate's or Bachelor's degree in a healthcare-related field, orthopaedic experience, or knowledge of CPT/ICD-10 coding preferred
Experience with electronic medical record (EMR) systems and payer portals preferred

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Precertification Specialist

Medical Support Assistant (Advanced)

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