Member Certification Specialist jobs in Alabama

Member Certification Specialist coordinates the certification and credentialing programs of a professional or membership organization. Participates in the development of standards and the creation of testing materials. Being a Member Certification Specialist maintains and monitors a test scheduling system or database. Organizes resources to implement testing schedules and sessions, including locations, testers, technology, and materials. Additionally, Member Certification Specialist assists members with information about programs and resolves any issues with the process. Interfaces with and monitors outside testing providers. May require a bachelor's degree. Typically reports to a manager. The Member Certification Specialist occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Member Certification Specialist typically requires 2-4 years of related experience. (Copyright 2024 Salary.com)

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Insurance Pre-Certification Specialist
  • Alabama Orthopaedic Clinic, PC
  • Mobile, AL FULL_TIME
  • Job Title: Insurance Pre-Certification Specialist Department: Clinical
    Reports To: Administrative Services Manager Effective Date: January 1, 2023
    Job Summary:
    Under general supervision, the Pre-Certification Specialist is responsible for assuring the timely and accurate pre-certification of assigned procedures to ensure proper payment is secured by the physician and organization. This position will also have a critical role in the scheduling of procedures, diagnostic studies and new patient referrals. As a member of the clinical team, this position will also have other clinical duties to ensure the best possible care for our patients.
    Responsibilities & Duties:
    • Securing the most up-to-date patient demographic and insurance information
    • Safe, accurate and timely scheduling of procedures, diagnostic studies and/or new patient referrals
    • Effectively communicating with referring sources, patients, the surgery center and physicians
    • Precertification of procedures and/or diagnostic studies
    • Timely handling of voice messages for the scheduling department
    • Other responsibilities assigned by supervisor or operations manager
    Clinic Team Member Responsibilities:
    • Communicate effectively with patients/families and the clinic team in a manner that promotes positive working relationships.
    • Understand own behavior and how it affects others.
    • Within defined standards and with minimal supervision, problem solves and makes decisions about clinic functions and patient care issues as an active team member.
    • Occasionally provide organizational and clerical support to facilitate optimal patient care and clinic operation.
    • Demonstrate proficiency in use of the computer for appointment scheduling, visit processing, order entry, charge entry, documentation of patient care and retrieval of information.
    • Participate in orientation of selected employees.
    • Complete required annual in-service and training programs.
    Requirements/Preferences:
    • A thorough understanding of insurance pre-certification process required
    • Knowledge of medical terminology, abbreviations, techniques and surgical procedures required
    • High School Diploma or equivalent required
    • Clinical Education or Training Required
    • Prior clinical experience required
    • Prior Experience in Orthopaedic care preferred
    • Must possess basic computer skills (email, messaging, etc.)
    Physical Requirements:
    • Ability to occasionally lift up to 25 pounds maximum.
    • Must be able to sit for extended periods of time.
    • The person in this position needs to occasionally move about inside the office to access equipment, supplies, etc.
    • The ability to communicate information and ideas so others will understand.
    • Must be able to exchange accurate information to patients, physicians and co-workers.
    Miscellaneous Requirements:
    • Above average communication skills
    • Above average interpersonal relationship skills
    • Must have strong customer service
    • Must have strong attention for detail
    • Must be proficient using computer programs
  • 20 Days Ago

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Pre-Certification Specialist - STVB Location
  • Alabama Oncology
  • Birmingham, AL FULL_TIME
  • This is a great opportunity to join our Alabama Oncology team at our St. Vincent's Birmingham Location! Description: The Pre-Certification Specialist is responsible for scheduling scans and diagnostic...
  • 1 Day Ago

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Pre-Certification Specialist (Full Time)
  • Russell Medical
  • Alexander, AL FULL_TIME
  • Job Summary: Determines if pre-certification or prior authorization is needed on any scheduled test or procedure by contacting patient’s carrier for information. Obtains information needed to obtain p...
  • 14 Days Ago

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Foster Care Re-certification Specialist (FT)
  • Sevita Health
  • Birmingham, AL FULL_TIME
  • Re-certification CoordinatorDo you want to work in a dynamic work environment where no day is ever the same as the next? In this role, your tasks will be diversified and you will be supporting our mis...
  • 26 Days Ago

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AHA BLS CPR Instructor
  • Certification Classes LLC
  • Montgomery, AL PART_TIME,CONTRACTOR
  • Earn $45.00 to $85.00 per hour teaching 2-3 CPR classes per week part-time with additional pay available. Flexible hours. We offer daytime, evening and weekend classes nationwide. Join our fast-growin...
  • 4 Days Ago

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AHA BLS CPR Instructor
  • Certification Classes LLC
  • Huntsville, AL PART_TIME,CONTRACTOR
  • Earn $40.00 to $100.00 per class teaching 2-3 CPR classes per week part-time with additional pay available. Flexible hours. We offer daytime, evening and weekend classes nationwide.Join our fast-growi...
  • 19 Days Ago

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Regulatory Certification Specialist 23-00850
  • ESPO Corporation
  • Arlington Heights, IL
  • Title: Regulatory Certification Specialist Location: Arlington Heights, IL Duration: Permanent Hire Reports to: Engineer...
  • 6/10/2024 12:00:00 AM

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Pre-Certification Specialist,
  • Valley Health System
  • Ridgewood, NJ
  • Responsible for obtaining and providing accurate and complete data input for precertification/preauthorization from insu...
  • 6/10/2024 12:00:00 AM

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Senior Housing Assistant Rental Specialist - Certification Specialist
  • Division 10 Personnel
  • Milwaukee, WI
  • Job Description Job Description Code: 2121 Location: Milwaukee, WI Job Description: Senior Housing Assistant Rental Spec...
  • 6/10/2024 12:00:00 AM

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Licensing and Certification Specialist
  • Synergy Healthcare Solutions
  • Atlanta, GA
  • Administration | 55000-65000 per year | 1040 Crown Pointe Pkwy, Dunwoody, GA, USA | Salary | Synergy Healthcare Services...
  • 6/8/2024 12:00:00 AM

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Site Certification Specialist - Monarch Mills
  • Humphrey Management
  • Columbia, MD
  • Monarch Mills is looking for a site based Certification Specialist. The ideal candidate should be organized, have attent...
  • 6/8/2024 12:00:00 AM

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Certification Specialist
  • Highmark Residential, LLC
  • Raleigh, NC
  • Overview: Location: Central on the Green Why Highmark Residential? Because every position is considered critical to High...
  • 6/7/2024 12:00:00 AM

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Inside Sales - Government Contract and Certification Specialist
  • Government Services Exchange
  • Clearwater, FL
  • Job Description Job Description Inside Sales – Government Contract and Certification Specialist Government Services Exch...
  • 6/7/2024 12:00:00 AM

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Long Term Temporary Position Certification Specialist
  • Travaux Inc.
  • Milwaukee, WI
  • Job Description Job Description CLASS SUMMARY: This position is responsible for performing technical and support tasks r...
  • 6/7/2024 12:00:00 AM

Alabama (/ˌæləˈbæmə/) is a state in the southeastern region of the United States. It is bordered by Tennessee to the north, Georgia to the east, Florida and the Gulf of Mexico to the south, and Mississippi to the west. Alabama is the 30th largest by area and the 24th-most populous of the U.S. states. With a total of 1,500 miles (2,400 km) of inland waterways, Alabama has among the most of any state. Alabama is nicknamed the Yellowhammer State, after the state bird. Alabama is also known as the "Heart of Dixie" and the "Cotton State". The state tree is the longleaf pine, and the state flower is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Certification Specialist jobs
$65,222 to $100,985

Member Certification Specialist in Providence, RI
The Legal Specialization Screening Committee and the Rules Committee of the Superior Court have approved the CBA’s certification program.
February 21, 2020
Member Certification Specialist in Harlingen, TX
This statewide certification requires completion of four three-hour leasing education courses.
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Member Certification Specialist in Jackson, MS
Attorneys who have attained the designation "Board Certified Workers’ Compensation Specialist" have satisfied the following requirements.
February 20, 2020