Precertification Specialist - Surgery

The Surgical Precertification Specialist manages end-to-end authorization processes for commercial insurance carriers to ensure surgical cases are approved timely and accurately. Working collaboratively with surgeons, patients, and insurance representatives, the role involves verifying benefits, tracking request statuses, and coordinating appeals to prevent last-minute surprises and maintain smooth workflows. Candidates must reside in NJ, PA, or FL while possessing strong experience in prior authorization and medical terminology.