Pre-certification Specialist

Description

At Axia Women’s Health, recognized as a Great Place to Work for a 4th year in a row, our vision is to lead the way in improving women's health. At the core of achieving this is a caring, connected, and progressive community of over 400 providers across nearly 200 women's health centers in New Jersey, Pennsylvania, Indiana, Ohio, and Kentucky. The rapidly growing network spans OB/GYN physicians, breast health centers, high‑risk pregnancy centers, two laboratories, urogynecology care, and fertility centers.

Together, Axia Women’s Health puts women first by delivering the personalized care needed for women to lead healthier, happier lives.

We are hiring a full time Pre Certification Specialist to join us in our Carmel, Indiana location.

• Promptly and professionally answers telephone calls. Route calls appropriately, offering voicemail or redirection of calls as needed.
• Review patient records to determine the necessity of pre‑authorization for services.
• Communicate with healthcare providers to gather required documentation as needed.
• Follow up on pending requests to ensure timely approvals.
• Educate patients about their insurance benefits and pre‑certification process.
• Complete obstetrical intake and schedule all new OB appointments.
• Explain financial requirements to patients; collect and record copays as required.
• Obtain pre‑certifications from insurance for testing and procedures.
• Perform registration functions for new and existing patients.
• Schedule patient appointments per guidelines given.
• Maintain confidentiality regarding all patients.
• Adhere to infection control/safety guidelines and confidentiality policies through HIPAA compliance.
• Other duties as assigned.

• Adapt to changing priorities and business needs.
• Is flexible and not easily flustered.
• Has great customer service skills.
• Can work in a fast‑paced innovative environment.
• Can focus on what is best for the team over the individual.
• Can work 40 hours per week.
• Can work between the hours of 7:45 a.m. and 9 p.m. as needed.

We offer an excellent compensation package, which includes full benefits, such as health/dental coverage, holiday/vacation, and 401(k).

Equal Opportunity Employer