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Precertification Specialist

1a76b878 E2a9 402d Bc67 Ec638582f7b4 19000101 000001 · Regional Support Office, Alpharetta, GA, US, Alpharetta, GA · Remote · Active · ADP Workforce Now Recruiting

Job facts

FieldValue
Company1a76b878 E2a9 402d Bc67 Ec638582f7b4 19000101 000001
TitlePrecertification Specialist
Normalized title-
Department / team-
LocationRegional Support, GA, United States
Work modelRemote / Remote
Employment typeFull Time
Salary-
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-03-30 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from 1a76b878 E2a9 402d Bc67 Ec638582f7b4 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Regional Support.Open
Work model jobsActive Remote postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

Company1a76b878 E2a9 402d Bc67 Ec638582f7b4 19000101 000001
Sourcedc59e465-b26f-4f6d-a7d8-33d419158581
ATS providerADP Workforce Now Recruiting

Description

We are hiring a Precertification Specialist for an exciting opportunity to join our growing team! Benefits: Medical, dental, vision, short/long term disability, 401k, PTO, life insurance, critical illness, hospital indemnity, and holiday pay. This will be a hybrid role after 2 to 4 weeks of training. Training is in our Regional Support office M-F from 8-5. After completing training you will work 4 days remote / 1 day at our Regional Support office in Alpharetta. Hours: Monday-Friday, 8AM - 5PM, no nights or weekends Duties may include but not limited to: Responsible for obtaining complete and accurate insurance information, benefit verification, accurately interpreting benefit plans and investigating pertinent details. Notifies supervisor of known or potential issues. Utilize ICD-10 and CPT codes to ensure proper authorization for procedure and claims payment. Responsible for explaining benefits, the billing process and financial responsibilities to patients. Responsible for ensuring treatment is medically necessary, align with established standards, payer guidelines and are approved within the required timeframe. Maintain accurate documentation of authorization and other related information. Utilization of payer portals Record all communication with providers and personnel in standardized documentation and proper format Review denial reasons and follow the appeal process in a timely manner. Arrange peer to peer, if applicable. Provides detailed, accurate and current clinical information to insurance representatives complying with HIPAA regulations. Requirements: Dependable team player is a must. Ability to work in a fast paced environment. Prior medical experience is required. Heart and Vascular Care is a cardiology practice that places a priority on compassionate patient care and service. In our team-based and family-oriented setting, we strive to set a new bar for patient healthcare through a modern, friendly, and thoughtful approach. Come be a part of our growing team. Apply and someone will be in touch!

Full job record

Job ID28cb0b6369fea1642fef4840ed4dcc89cfd9a710
Org ID44fd5668-3a59-4938-8aa2-3bc57849cbde
Source IDdc59e465-b26f-4f6d-a7d8-33d419158581
Board IDdc59e465-b26f-4f6d-a7d8-33d419158581
Provideradp_workforcenow
Provider Job Key572079
TitlePrecertification Specialist
Normalized Title—
Statusactive
Activeyes
Location TextRegional Support Office, Alpharetta, GA, US, Alpharetta, GA
Department—
Team—
Employment Typefull_time
Workplace Typeremote
Remote Policyremote
CountryUnited States
RegionGA
CityRegional Support
Salary Raw—
Salary Min—
Salary Max—
Salary Currency—
Salary Period—
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=1a76b878-e2a9-402d-bc67-ec638582f7b4&ccId=19000101_000001&lang=en_US&type=JS&jobId=572079&jwId=9200894848389_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=1a76b878-e2a9-402d-bc67-ec638582f7b4&ccId=19000101_000001&lang=en_US&type=JS&jobId=572079&jwId=9200894848389_1
First Seen At2026-05-31 18:57:12Z
Last Seen At2026-06-06 12:35:12Z
Last Checked At2026-06-06 12:35:12Z
Last Changed At2026-06-06 12:35:12Z
Inactive At—
Source Posted At2026-03-30 19:40:00Z
Source Updated At—
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=adp_workforcenow/board=1a76b878-e2a9-402d-bc67-ec638582f7b4|19000101_000001/date=2026-06-06/2026-06-06T12-35-12-585Z-89ab166761fe092d22c222dc58d509f440676a3e45b22baf5dbbcc0bb5d90840.json
Event Fields
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Parsed Structured
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Extensions
{}
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    "requisitionDescription": "<div><p data-pasted=\"true\">We are hiring a Precertification Specialist for an exciting opportunity to join our growing team!</p><p><strong>Benefits: Medical, dental, vision, short/long term disability, 401k, PTO, life insurance, critical illness, hospital indemnity, and holiday pay.</strong></p><p><strong>This will be a hybrid role after 2 to 4 weeks of training. Training is in our Regional Support office M-F from 8-5. After completing training you will work 4 days remote / 1 day at our Regional Support office in Alpharetta.</strong></p><p style='box-sizing: inherit; font-size: 0.875rem; line-height: 1.5; color: rgb(66, 66, 66); margin: 0px 0px 0.75rem; font-family: \"Noto Sans\", \"Helvetica Neue\", Helvetica, Arial, \"Liberation Sans\", Roboto, Noto, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'>Hours: Monday-Friday, 8AM - 5PM, no nights or weekends</p><p style='box-sizing: inherit; font-size: 0.875rem; line-height: 1.5; color: rgb(66, 66, 66); margin: 0px 0px 0.75rem; font-family: \"Noto Sans\", \"Helvetica Neue\", Helvetica, Arial, \"Liberation Sans\", Roboto, Noto, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><b style=\"box-sizing: inherit; font-weight: 700;\">Duties may include but not limited to:</b></p><ul style='box-sizing: inherit; margin-bottom: 0.625rem !important; color: rgb(89, 89, 89); font-family: \"Noto Sans\", \"Helvetica Neue\", Helvetica, Arial, \"Liberation Sans\", Roboto, Noto, sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><li dir=\"ltr\" style=\"list-style-type:disc;font-size:11pt;font-family:'Noto Sans Symbols',sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;\" id=\"isPasted\"><p dir=\"ltr\" style=\"line-height:1.295;margin-top:0pt;margin-bottom:0pt;\"><span style=\"font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;\">Responsible for obtaining complete and accurate insurance information, benefit verification, accurately interpreting benefit plans and investigating pertinent details. Notifies supervisor of known or potential issues.</span></p></li><li dir=\"ltr\" style=\"list-style-type:disc;font-size:11pt;font-family:'Noto Sans Symbols',sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;\"><p dir=\"ltr\" style=\"line-height:1.295;margin-top:0pt;margin-bottom:0pt;\"><span style=\"font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;\">Utilize ICD-10 and CPT codes to ensure proper authorization for procedure and claims payment.</span></p></li><li dir=\"ltr\" style=\"list-style-type:disc;font-size:11pt;font-family:'Noto Sans Symbols',sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;\"><p dir=\"ltr\" style=\"line-height:1.295;margin-top:0pt;margin-bottom:0pt;\"><span style=\"font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;\">Responsible for explaining benefits, the billing process and financial responsibilities to patients.</span></p></li><li dir=\"ltr\" style=\"list-style-type:disc;font-size:11pt;font-family:'Noto Sans Symbols',sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;\"><p dir=\"ltr\" style=\"line-height:1.295;margin-top:0pt;margin-bottom:0pt;\"><span style=\"font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;\">Responsible for ensuring treatment is medically necessary, align with established standards, payer guidelines and are approved within the required timeframe.</span></p></li><li dir=\"ltr\" style=\"list-style-type:disc;font-size:11pt;font-family:'Noto Sans Symbols',sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;\"><p dir=\"ltr\" style=\"line-height:1.295;margin-top:0pt;margin-bottom:0pt;\"><span style=\"font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;\">Maintain accurate documentation of authorization and other related information.</span></p></li><li dir=\"ltr\" style=\"list-style-type:disc;font-size:11pt;font-family:'Noto Sans Symbols',sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;\"><p dir=\"ltr\" style=\"line-height:1.295;margin-top:0pt;margin-bottom:0pt;\"><span style=\"font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;\">Utilization of payer portals</span></p></li><li dir=\"ltr\" style=\"list-style-type:disc;font-size:11pt;font-family:'Noto Sans Symbols',sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;\"><p dir=\"ltr\" style=\"line-height:1.295;margin-top:0pt;margin-bottom:0pt;\"><span style=\"font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;\">Record all communication with providers and personnel in standardized documentation and proper format</span></p></li><li dir=\"ltr\" style=\"list-style-type:disc;font-size:11pt;font-family:'Noto Sans Symbols',sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;\"><p dir=\"ltr\" style=\"line-height:1.295;margin-top:0pt;margin-bottom:0pt;\"><span style=\"font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;\">Review denial reasons and follow the appeal process in a timely manner. Arrange peer to peer, if applicable.&nbsp;</span></p></li><li dir=\"ltr\" style=\"list-style-type:disc;font-size:11pt;font-family:'Noto Sans Symbols',sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;\"><p dir=\"ltr\" style=\"line-height:1.295;margin-top:0pt;margin-bottom:0pt;\"><span style=\"font-size:11pt;font-family:Calibri,sans-serif;color:#000000;background-color:transparent;font-weight:400;font-style:normal;font-variant:normal;text-decoration:none;vertical-align:baseline;white-space:pre;white-space:pre-wrap;\">Provides detailed, accurate and current clinical information to insurance representatives complying with HIPAA regulations.&nbsp;</span></p></li></ul><p style='box-sizing: inherit; font-size: 0.875rem; line-height: 1.5; color: rgb(66, 66, 66); margin: 0px 0px 0.75rem; font-family: \"Noto Sans\", \"Helvetica Neue\", Helvetica, Arial, \"Liberation Sans\", Roboto, Noto, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><b style=\"box-sizing: inherit; font-weight: 700;\">Requirements:</b></p><ul style='box-sizing: inherit; margin-bottom: 0.625rem !important; color: rgb(89, 89, 89); font-family: \"Noto Sans\", \"Helvetica Neue\", Helvetica, Arial, \"Liberation Sans\", Roboto, Noto, sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'><li style=\"box-sizing: inherit; font-size: 0.875rem; list-style: inside disc !important;\">Dependable team player is a must.</li><li style=\"box-sizing: inherit; font-size: 0.875rem; list-style: inside disc !important;\">Ability to work in a fast paced environment.</li><li style=\"box-sizing: inherit; font-size: 0.875rem; list-style: inside disc !important;\">Prior medical experience is required.</li></ul><p style='box-sizing: inherit; font-size: 0.875rem; line-height: 1.5; color: rgb(66, 66, 66); margin: 0px 0px 0.75rem; font-family: \"Noto Sans\", \"Helvetica Neue\", Helvetica, Arial, \"Liberation Sans\", Roboto, Noto, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'>Heart and Vascular Care is a cardiology practice that places a priority on compassionate patient care and service. In our team-based and family-oriented setting, we strive to set a new bar for patient healthcare through a modern, friendly, and thoughtful approach.</p><p style='box-sizing: inherit; font-size: 0.875rem; line-height: 1.5; color: rgb(66, 66, 66); margin: 0px 0px 0.75rem; font-family: \"Noto Sans\", \"Helvetica Neue\", Helvetica, Arial, \"Liberation Sans\", Roboto, Noto, sans-serif; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;'>Come be a part of our growing team. Apply and someone will be in touch!</p></div>\n",
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        "aliasNames": []
      }
    ],
    "screeningRequirements": [],
    "sponsoredVisaTypeCodes": []
  },
  "detail_meta": {
    "url": "https://workforcenow.adp.com/mascsr/default/careercenter/public/events/staffing/v1/job-requisitions/572079?cid=1a76b878-e2a9-402d-bc67-ec638582f7b4&ccId=19000101_000001&lang=en_US&locale=en_US",
    "http_status": 200,
    "content_type": "application/json;charset=UTF-8",
    "response_bytes": 15660
  },
  "detail_errors": []
}
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Rendered from the bluedoor Job Postings API. Reproduce it:

GET https://api.bluedoor.sh/job-postings/v1/jobs/28cb0b6369fea1642fef4840ed4dcc89cfd9a710?include=descriptionJSON
GET https://api.bluedoor.sh/job-postings/v1/orgs/44fd5668-3a59-4938-8aa2-3bc57849cbdeJSON
GET https://api.bluedoor.sh/job-postings/v1/sources/dc59e465-b26f-4f6d-a7d8-33d419158581JSON
GET https://api.bluedoor.sh/job-postings/v1/jobs/28cb0b6369fea1642fef4840ed4dcc89cfd9a710/eventsJSON

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