Responsible for developing, implementing, and overseeing precertification training programs. Ensures accuracy and compliance through audits and follow-ups. Manages precertification workloads, monitors system queues, and supports staff in utilizing insurance websites and CPT codes. Provides coaching, enhances processes, and fosters a professional, customer-focused environment. Requires a high school diploma and four years of healthcare-related experience, with management experience preferred.

• Develops, implements, and oversees precertification training programs.

• Creates and maintains up-to-date training materials to ensure accuracy and relevance.

• Audits precertifications for compliance and accuracy, providing necessary follow-ups.

• Manages precertification workloads efficiently to ensure timely processing.

• Monitors system work queues to maintain operational effectiveness.

• Upholds exceptional customer service standards while maintaining professionalism.

• Provides coaching and counseling to employees to support performance improvement.

• Demonstrates proficiency in insurance websites and CPT codes, providing training to staff.

• Identifies opportunities for process improvements and suggests enhancements.

• Serves as a subject matter resource for all precertification staff, including decentralized areas.

• High school diploma and at least four years of healthcare-related experience.

• Preferred: management experience.

• Strong communication, customer service, and organizational skills.

• Proficient in relevant computer applications and training development.