Precertification Specialist
- Location
- Saint Luke's Hospital | 4401 Wornall Rd | Kan…
- Listed
- Today
About the role
Join our Saint Luke's ENT Team as a Precertification Specialist!
- Monday - Friday, 8am - 430pm
- No Nights, No Weekends
- This position will be located onsite at our Plaza location with occasional travel to other ENT locations as needed
The Opportunity
The Precertification Specialist is responsible for obtaining prior authorizations/pre-certifications, as required by third party payers, for procedures, testing and surgeries performed in the department or elsewhere. The position regularly interacts and collaborates with clinicians, technicians, other department staff and payer representatives to gather and submit necessary information, and then communicates with patients regarding their benefits and expected out-of-pocket costs.
- Obtains precertification/prior authorizations for in clinic procedures, testing, surgeries, injections, etc., as required by insurance prior to scheduled date for both facility and physician
- Assists with Hearing Aid Services
- Assists with front office support
- Coordinates with physician to ensure that patient's condition meets insurance eligibility criteria
- Updates appropriate work queues within Epic, including notes with updates on calls made, departments/people spoke with, prior auth numbers and authorization periods
- Interacts with the Financial Clearance Center Team to coordinate information needed to communicate benefits and patient responsibility for the facility billing portion
- Runs report on Experian to obtain the physician billing estimate and interacts with the Physician CBO to coordinate information needed to communicate benefits and patient responsibility for the physician billing portion
- Communicates regularly with patient to update on prior authorization and to provide patient responsibility estimate for both facility and physician billing sides.
- Interacts with OR and/or ASC staff to obtain scheduling information and to coordinate communication to the patient
- Schedules procedure with vendor rep, as needed
Why Saint Luke's?
- We believe in work/life balance.
- We are dedicated to innovation and always looking for ways to improve.
- We believe in creating a collaborative environment where all voices are heard.
- We are here for you and will support you in achieving your goals.
Job Requirements
Applicable Experience: 2 years
Job Details
Full Time
Day (United States of America)
From Saint Luke's Health System's careers page, first listed on Rolev.ai on November 10, 2026. Rolev.ai is not the employer.
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Common questions
Where is the Precertification Specialist job at Saint Luke's Health System located?
This Precertification Specialist position at Saint Luke's Health System is located in Saint Luke's Hospital | 4401 Wornall Rd | Kan…. Always check Saint Luke's Health System's application page for specific state eligibility or relocation policies.
How do I apply for the Precertification Specialist position at Saint Luke's Health System?
This listing links directly to Saint Luke's Health System's Workday application page. You can apply directly on Saint Luke's Health System's site, or use Rolev.ai to check your resume fit, generate a zero-hallucination tailored resume and cover letter for this posting, and autofill the Workday application form in 1 click with the Rolev.ai Chrome extension. You always review the form and press Submit yourself.