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ProMedica

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 ExperienceInsurance Policy ComplianceFinancial CommunicationPayer Authorization Guidelines

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Coding for Professional ServicesPre-Service Price EstimatesInsurance Regulations
Soft Skills
Customer Service
Industry Keywords
Out-of-Pocket Financial ResponsibilitiesMedical Services

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
  • Help 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)
  • Must reside in an eligible U.S. state
  • Employment is unavailable to residents of California, Colorado, Hawaii, Massachusetts, New Jersey, New York, Oregon, Pennsylvania, Washington, or U.S. territories
  • Eligibility is based on applicant’s primary residence at time of hire

Benefits

Comp & perks
  • Medical coverage effective day one of employment
  • Dental coverage effective day one of employment
  • Vision coverage effective day one of employment
  • Company-paid life insurance
  • Paid time off
  • 401(k) retirement plan
  • Employee assistance program
  • Voluntary coverage options
  • Employee discounts
  • Flexible benefits
  • Compensation and programs supporting family, finances, and personal well-being