Pre Certification Analyst

ProMedica

. Review payer authorization guidelines .

Posted 9/30/2026full-timeRemote • Ohio • United StatesMid-LevelSenior💰 $31,200 - $58,968 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in patient registration, billing processes, and insurance policy compliance while effectively communicating financial responsibilities to patients. Proficient in creating price estimates and ensuring adherence to payer authorization guidelines.

Highest-signal resume keywords

Patient RegistrationBilling ProcessesInsurance Policy ComplianceFinancial CommunicationPayer Authorization Guidelines

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Coding for Professional ServicesPre-Service Price EstimatesInsurance RegulationsMedical Services Coordination

Soft Skills

Customer ServiceCommunication

Certifications & Qualifications

High School Diploma or Equivalent

Industry Keywords

Out-of-Pocket Financial ResponsibilitiesPayer Authorization GuidelinesMedical ServicesRegulatory Requirements

About the role

Key responsibilities & impact

Review payer authorization guidelines
Assign coding for professional services
Create pre-service price estimates
Inform patients of potential out-of-pocket financial responsibilities
Ensure patients receive needed medical services while following insurance policies and regulations

Requirements

What you’ll need

High School diploma or equivalent
1 year experience in patient registration, billing, or customer service (preferred)
Employment limited to residents of eligible U.S. states due to legal, tax, and regulatory requirements
Cannot reside in California, Colorado, Hawaii, Massachusetts, New Jersey, New York, Oregon, Pennsylvania, Washington, or U.S. territories

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Company paid life insurance
Paid time off
401k retirement plan
Employee assistance program
Voluntary coverage options
Employee discounts
Flexible benefits
Compensation and programs supporting family, finances, and personal well-being