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Top 50 Certification Specialist Skills

Below we've compiled a list of the most important skills for a Certification Specialist. We ranked the top skills based on the percentage of Certification Specialist resumes they appeared on. For example, 16.4% of Certification Specialist resumes contained Surgical Procedures as a skill. Let's find out what skills a Certification Specialist actually needs in order to be successful in the workplace.

These are the most important skills for a Certification Specialist:

1. Surgical Procedures

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high Demand
Here's how Surgical Procedures is used in Certification Specialist jobs:
  • Obtained and secured prior authorization for testing and surgical procedures.
  • Process surgical procedures/medical services pre-certifications.
  • Obtain prior authorizations for radiological exams and surgical procedures.
  • Obtain pre-certification for out-patient surgical procedures.
  • Pre-certified surgical procedures for eight orthopedic physicians who specialized in: Trauma, Upper Extremity, Oncology, and Adult Reconstruction.
  • Verify insurance benefits Surgery coding Pre-certification of surgical procedures Pre-collection of patient financial responsibility for surgery

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2. Insurance Companies

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high Demand
Here's how Insurance Companies is used in Certification Specialist jobs:
  • Communicate between provider offices and insurance companies to obtain prior authorizations for pain management procedures for example ablations, injections etc.
  • Appealed and/or disputed denied prior approval request with insurance companies, worker compensation adjusters, and third-party administrators.
  • Acquire authorizations from insurance companies for surgical patients while organizing patients historical and clinical data.
  • Process prior-authorizations with accuracy by telephone and online with various insurance companies.
  • Verify eligibility and benefits with insurance companies.
  • Call insurance companies to obtain benefit information.
  • Worked closely with hospital staff, physicians, and insurance companies in order to obtain maximum coverage for patients.
  • Provide accurate information to insurance companies based on test results, clinical dictation, etc.
  • Communicate with insurance companies to obtain an authorization for patients to have diagnostic testing done.
  • Process medical insurance claim forms to be sent to client insurance companies for payment.
  • Call insurance companies to obtain prior-authorization for testing, office visits and surgeries.
  • Code bills for insurance companies and health providers utilizing proprietary software.
  • Verified procedures and diagnosis codes with insurance companies prior to surgery.
  • Call insurance companies to get benefits and to see if procedures and hospital stays require pre- certification.
  • Coordinate between insurance companies, physicians offices and patients, regarding pre certification of exam.
  • Provide Medical Codes for the billing, and Insurance companies 2006-2010
  • Pre-certified all appointments, tests, and surgeries for patients by contacting insurance companies and obtaining insurance verification and preauthorization.
  • Contacted patients' insurance companies to obtain pre-certification of requested diagnostic testing, treaments and/or surgeries.
  • Coordinated with insurance companies the pre-certification and pre-determination of all tests and surgeries for the patients.
  • Work directly with the insurance companies, healthcare providers and patients to get a authorizations processed in a timely manner.

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3. Customer Service

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high Demand
Here's how Customer Service is used in Certification Specialist jobs:
  • Perform home inspections; provided excellent customer service; streamlined licensing process making system more efficient
  • Maintained professional courtesy and provided superior customer service throughout all phone interaction with the public.
  • Co-developed new standards on Customer Service Task Force, implementing changes organization-wide.
  • Transferred to AMG/Customer Service following corporate reorganization.
  • Provided operational support for customer service representatives.
  • Worked closely with customer service and provider relations regarding the research and adjustment of pended claims and research of benefit issues.
  • Maintain and enhance customer service to ensure that both external and internal consumers of Spokane Mental Health have a positive experience.
  • Checked in patients; verified patient information, insurance coverage, and referrals, while providing exceptional customer service.
  • Work as the front line person for customer service support including in person, telephone, and email contact.
  • Achieved #1 customer service satisfaction rank of 130 staff and #1 in timely responses within 48 hours.
  • Provided customer service for the overall Registrar in person, via email and over the phone.
  • Provided a high level of customer service and support for all McAfee SECURE e-commerce accounts.
  • Serve as a resource on insurance, billing and customer service for reception and cashier.
  • Provided excellent customer service to internal and external customers via, phone and e-mail.
  • Maintain, manage and provided excellent customer service to a heavy client load.
  • Trained new associates in customer service, office procedures and data collection.
  • Interact with other departments to ensure quality customer service for patients.
  • Communicate with Customer Service, Reviewers and others within the organization to provide the certificate that meets customer expectations.
  • Provide excellent customer service to county offices as well as maintaining open and productive communication with LER team.
  • Provided efficient customer service to clients.

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4. Data Entry

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Here's how Data Entry is used in Certification Specialist jobs:
  • Maintain data entry requirements by following data program techniques.
  • Executed data entry of applications into Personify database.
  • Complete data entry of approved and denied authorizations in the medical management system on a daily basis.
  • Performed clerical work including answering phones, completing faxes, organizing files, data entry, etc.
  • Scheduled appointments, data entry, processed medical claims and insurance verification and prior approvals.
  • Work various data entry and renewal projects during heavy renewal periods.
  • Performed data entry in PeopleSoft and VAONCE.
  • Inserted data entry of the IRS Form 8850 and ETA form 9061 in WAMS system (web base software).

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5. Certification Process

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Here's how Certification Process is used in Certification Specialist jobs:
  • Provide technical expertise and training for Construction Project Administrators, District Materials Certification personnel and Final Estimates on the Certification process.
  • Write correspondences in response to letters and emails received in-house regarding certification process.
  • Schedule and conduct Pre-Certification orientations with applicants to introduce the certification process.
  • Assist Product Program Certifications according to project schedule and Certification Process.
  • Conducted and participated in workshops on the certification process.
  • Identified inefficiencies in office procedures for certification processing.
  • Mentor and teach less experienced certification plan owners to understand certification processes, procedures and risk items.
  • Train new employees on the various levels of the certification process.
  • Analyze and report Key Performance Measures for the Certification process.
  • Provided communications to patients regarding the pre-certification process and detailing the role the medical plays in obtaining certifications for various services.
  • Complete licensure/certification process and complaint investigations for all health care providers within 10 parishes accepting Medicare and Medicaid payments for service
  • Work closely with potential and current foster/adoptive parents to ensure all licensure regulations are met regarding the certification/re-certification process.
  • Initiated the pre-certification process for inpatient, outpatient, diagnostic and maternity procedures as needed.
  • Collaborated with departmental personnel and exterior providers to obtain necessary information for the pre-certification process.
  • Handled and processed incoming and outgoing mail associated with the pre-certification process.
  • Assisted with the daily operations certification process for addiction and behavioral health professionals
  • Apply new program procedures upon initiation* Home visits to the elderly or shut-in for recertification process.
  • Audited the recertification process for residents with low income in various communities for Avalon Bay.
  • Worked with the Kentucky region to implement a more sound pre-certification process in 2015.

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10 Certification Process Jobs

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6. Medical Records

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Here's how Medical Records is used in Certification Specialist jobs:
  • Obtained medical records to provide supporting documentation to submit appeals.
  • Pull completed medical records off of electronic Medical Record system (called Wound Docs) and review prior to insurance request.
  • Coordinated with physician's nurse to complete recorded medical records in order to expedite insurance payment.
  • Key appropriate medical records forms Multicultural, Crisis response and BHT Consults as appropriate.
  • Obtained necessary clinical from the electronic medical records system Wound Expert.
  • Analyze Epic (EMR) system for patient medical records and information
  • Recorded and filed patient data and medical records.
  • Utilized medical records to make those decisions.
  • Obtain medical records and handle charts.
  • Communicated with medical transcriptionists regarding patient medical records.
  • Supervised the Medical Records staff: 1 Full-time employee and 2-3 high school students).
  • Record and File pre authorization information in patient's medical records.
  • Handled authorization/pre-determination requests with several Insurance companies Completed appeals/re-considerations for authorization denials Verified Insurance benefits Data Entry Medical Records

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7. Medicaid

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Here's how Medicaid is used in Certification Specialist jobs:
  • Perform observations on facilities and Medicaid enrolled providers relative to quality of medical services.
  • Maintain data management of all insurance companies and Medicaid verification for all inpatient/observation patients.
  • Conducted face to face interviews with clients to determine their eligibility for Food Stamps, Medicaid and cash assistance.
  • Conducted intensive screening of Medicare, Medicaid and managed care patients for pre-certification requirements and provider service eligibility prior to registration.
  • Obtained pre-certification for procedures by calling private insurance providers, Medicare or Medicaid to obtain current coverage and amounts.
  • Performed Medicaid retroactive pre-certification and appeals management services for a local hospital (UMHC)

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2 Medicaid Jobs

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8. Assurance

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Here's how Assurance is used in Certification Specialist jobs:
  • Conducted on-site quality assurance visits to human service agencies to determine compliance with federal funding guidelines.
  • Maintain appropriate quality assurance percentages and productivity numbers on the certified and reviewed student files.
  • Received completed programs and data files from quality assurance staff and created a release package that would be installed by customers.
  • Maintained the work environments for the software engineers and quality assurance staff to make their jobs easier.
  • Input and Process all monetary payments in Energov database ensuring satisfactory quality assurance.
  • Update Enterprise Mission Assurance Support Service (eMASS) with revised artifacts, post policy changes.
  • Created and maintained Information Assurance Management Office C&A Standard Operating Procedures (SOPs).
  • Trained and certified neurocognitive testers and directed neurocognitive data quality assurance for multi-site clinical trials.

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1 Assurance Jobs

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9. Radiology

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high Demand
Here's how Radiology is used in Certification Specialist jobs:
  • Submit authorization or referrals for patients for radiation therapy, radiology and clinical trials.
  • Schedule patients in scheduling system for Radiology/Cardiology areas.
  • Obtain authorizations for surgeries, physical therapy, and radiology tests from various s medical insurance companies.
  • Process requests for prior authorization for various outpatient radiology exams and phone requests.
  • Managed daily operations and maintenance of equipment Currently, I am responsible for authorizations for outpatient diagnostic radiology and occupational therapy.
  • Initiated start-up Pre-certification process for the radiology department.
  • Serve as a pre-cert specialist that works to certify diagnostic testing in Radiology department.
  • Create and maintain documentation on network status of insurance types and position tasks Schedule radiology procedures Continuous process improvement
  • Time Handling of all insurance verification and pre-certification requirements for high tech Radiology patients.
  • Key Contributions: Responsible for pre-certifying all Radiology procedures including MRI/CT and PET scans utilizing EPIC Electronic Healthcare System..

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10. CPT

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Here's how CPT is used in Certification Specialist jobs:
  • Gained comprehensive knowledge in clinical terminology and ICD-9/CPT coding requirements.
  • Researched/ascertained ICD-9 and CPT codes to establish medical necessity.
  • Code each diagnosis and procedure codes (ICD and CPT codes) according to standards and following all regulations and guidelines.
  • Verified assigned ICD9 and CPT codes were appropriate based on documentation in accordance with NCCN guidelines and Medicare approved.
  • Verified the ICD-10, CPT and/or HCPCS was payable under patient's insurance plan.
  • Skilled in ICD-9 and CPT coding and Bravo Health's Pre-Certification requirement.
  • Evaluated prospective fitness instructors on practical exams for CPT and CCS.
  • Verify CPT and ICD-9 codes are correct.
  • Possessed experience in CPT, ICD-9, HCPC and DRG coding.
  • Call the patient to verify insurance information, use cpt codes and diagnosis codes when obtaining authorization.
  • Assign appropriate ICD9 and CPT codes pre-operatively based on documentation and booking slips.
  • Used CPT codes and ICD-10 codes to issue the pre-certifications.
  • Assign the proper ICD- 9 , ICD-10 , and CPT Codes for authorization request Handing all denied claims and billing issues

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11. State Regulations

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Here's how State Regulations is used in Certification Specialist jobs:
  • Support individuals to successfully establish a family child care business in accordance with state regulations and administrative codes.
  • Experienced with analyzing federal and state regulations.
  • Acted as Team Lead for monitoring Support Coordination agencies to determine if agencies were in compliance with state regulations.
  • Ensured that entities were in compliance with federal and state regulations.
  • Train and certify treatment foster parents based on Virginia state regulations and Pressley Ridge regulations.

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2 State Regulations Jobs

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12. Medical Procedures

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high Demand
Here's how Medical Procedures is used in Certification Specialist jobs:
  • Authorize inpatient and outpatient medical procedures based on departmental guidelines.
  • Take calls from Members and Providers, regarding members' eligibility for medical procedures requiring pre-certification.
  • Obtained authorizations and/or pre-certifications for medical procedures being performed by physicians within the medical practice.
  • Hired to obtain pre authorizations from Insurance Companies for Medical Procedures.
  • Call insurance companies for authorization on medical procedures Schedule medical procedures Explain medical procedures to patients Operating switchboard

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13. Patient Care

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Here's how Patient Care is used in Certification Specialist jobs:
  • Determine the need for cosmetic, investigative/experimental procedures by accessing medical policy and pending cases to Patient Care Coordinators/RN for review.
  • Managed unit statistics for Patient Care Management Department utilizing specialized software.
  • Prepared and maintained records of patient care and progress.

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14. Medical Necessity

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Here's how Medical Necessity is used in Certification Specialist jobs:
  • Identify medical necessity and appropriateness based on established criteria and clinical guidelines.
  • Ensured all documentation met medical necessity requirements.
  • Administered medical procedure service pre-certifications based on medical necessity.

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15. HUD

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Here's how HUD is used in Certification Specialist jobs:
  • Researched and prepared documentation in accordance with HUD occupancy guidelines and determined appropriate course of action for Due and Payable.
  • Maintain files in an audit-ready manner, for presentation in a management review by HUD or other regulatory/funding agencies.
  • Furnish and certify reports to Management for submission to HUD and CRHA as required.
  • Verified that all tenant income and assets fit the guidelines of HUD.
  • Input all information into the computer using HUD programming.
  • Respond to questions regarding HUD programs and leasing.
  • Submit necessary monthly reports to HUD.
  • Completed yearly recertification of tenants by HUD calculations and standards to determine benefit continuation.
  • Calculated and entered verification information into HUD Manager and process a new lease for each resident recertified.

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3 HUD Jobs

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16. Phone Calls

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Here's how Phone Calls is used in Certification Specialist jobs:
  • Replied to and assessed customer email and phone calls to determine type of certificate needed with proper amounts.
  • Handled inbound customer phone calls via phone queue providing customer information to resolve customer request.
  • Fielded customer phone calls concerning Certificates of Insurance and provided assistance when necessary, i.e.
  • Manage calendars, phone calls and visitors appropriately and efficiently.
  • Initiated Phone calls to Ed systems for documentation acquisition.
  • Answered phone calls for a customer help desk.
  • Answer emails, faxes, and phone calls.
  • Answer phone calls with maximum confidentiality Perform front desk receptionist duties including scheduling and confirming consumer appointments as appropriate.
  • Answered incoming phone calls and emails in a timely manner.

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17. High Volume

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Here's how High Volume is used in Certification Specialist jobs:
  • Initiated medical procedure and service prior authorizations via high volume incoming call center.
  • Process high volume of applications for certification, verifying eligibility of candidates.
  • Developed internal processes to effectively process requests for high volume clients.
  • Answer incoming calls in a high volume call center environment from members and health care professionals.
  • Collaborate with team members to assist during high volume periods.
  • Respond to high volume of complex emails and voicemail's on a daily basis.
  • Process daily work assignments, including ad hoc and renewal requests Collaborate with team members to assist during high volume periods

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18. Nist

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Here's how Nist is used in Certification Specialist jobs:
  • Evaluated clinical testers in the administration of standardized testing procedures.
  • Manage and assist in development of Administrative Assistant position.
  • Provided administrative support to management.
  • Counseled and assisted Veterans Administration (VA) students concerning available VA educational benefits while attending USM.
  • Meet with Principals and other Administrators frequently to monitor and discuss Interns' strengths and weaknesses.
  • Screened clinical trials data for administration and scoring errors and provided raters with constructive feedback.
  • Gather information and prepare summary of evidence to testify before an Administrative Law Judge.
  • Administered and Interpreted Grade-Level, Skills-based and Aptitude tests to job and training candidates.
  • Administered client's database and scheduled meetings with clients and management on various topics.
  • Participate in the development of Section 8 Administration Plan and Procedures Manual.
  • Monitor compliance of Wisconsin Administrative Regulations HFS 83 AND HFS 88.
  • Perform administrative duties in the absent of Office Coordinator.
  • Perform administrative Coordination's duties as needed.
  • Administer oral, written to applicants.
  • CHECK IN / CHECK OUT RECEPTIONIST - Roman Medical Group
  • Administered database (Sybase, Windows NT) of results from 10,000 candidates.
  • Interfaced with Sylvan (later Thomson) Prometric to validate and administer tests.
  • Certified to administer neurocognitive batteries at screening, baseline, and follow-up visits.
  • Reviewed STIGs with control owners and system administrators.
  • Trained, certified, refreshed, and remediated clinical raters to administer a variety of neurocognitive test batteries.

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19. Clinical Staff

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Here's how Clinical Staff is used in Certification Specialist jobs:
  • Helped to create a successful connection between the clinical staff and the billing department by providing accurate and prompt customer service.

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20. Durable Medical Equipment

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Here's how Durable Medical Equipment is used in Certification Specialist jobs:
  • Instructed patients in the proper use of and fitted patients for various types' durable medical equipment.
  • Fitted and instructed patients on the application and usage of various types durable medical equipment.

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21. Insurance Certificates

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Here's how Insurance Certificates is used in Certification Specialist jobs:
  • Created and issued insurance certificates per policy and industry regulatory standards.
  • Reviewed specific requests and requirements to accurately produce insurance certificates.
  • Created insurance certificates to client specifications.
  • Develop database exposure reports and certificates of insurance Maintain 3rd party compliance on casualty insurance certificates Operational reporting for mass data pools
  • Created proof of insurance certificates per request; Maintained client database; Maintained quality and quantity requirements.
  • Processed Insurance Certificates for Clients Collaborated with team members to resolve issues and assist during high volume periods

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22. Technical Assistance

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Here's how Technical Assistance is used in Certification Specialist jobs:
  • Promote standards of practice by providing technical assistance or making appropriate referrals to improve the regulatory process.
  • Provided technical assistance to assist agencies with corrective action and understanding of program expectations.
  • Provided technical assistance involving program implementation and compliance reviews.
  • Provided technical assistance, upon request, regarding specific situations or problems, and change in procedures, regulations and laws.
  • Provide technical assistance to clients, TDA Staff and other state, federal & private sources relating to current accurate practices.
  • Provided technical assistance with the online system.

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23. FAA

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Here's how FAA is used in Certification Specialist jobs:
  • Lead and facilitate FAA, Foreign Regulatory Authority Agency and Boeing meetings as required to ensure successful certification project completion.
  • Completed monthly refund activity initiated by other MedNet/NFAA personnel.
  • Ensured compliance with FCC/FAA regulations and their international equivalents.
  • Inspect certifications for authenticity and adherence to FAA regulations.
  • Supervised completion of quality audit and documentation using the FAA ATOS (Air Transportation Oversight System) compliance documentation system.
  • Mediate between the FAA and industry under FAA 14 Title 14 CFR Part 25 and Part 23 policy requirements.
  • Developed and implemented all proving processes for FAA 121 Certification including Tabletop exercises, Partial Evacuation and Proving Flights.
  • Provide detailed avionics configuration and operational reports to the FAA and manufactures to resolve ADS-B issues.
  • Review flight data from the FAA performance monitor to assure the ADS-B avionics transmit acceptable parameters.
  • Facilitated meetings with the FAA specialists and captured all risk items into a database for resolution.
  • Provide technical findings to the FAA ADS-B program office and ADS-B manufactures.
  • Administer written and practical exams for AFAA's certification programs.
  • Perform facilitator responsibilities for FAA audits of Boeing ODA.
  • Worked closely with the Director of Engineering/FAA DER on seat product design requirements to determine the flammability certification strategy.
  • Instruct and evaluate potential personal trainers using AFAA educational criteria Conduct numerous workshops throughout the United States
  • Implemented a cell that could effectively write dispositions in a timely manner to support the FAA board weekly meetings.
  • Create Instructions for Airworthiness (ICA) documents for FAA acceptance under 23.1529, 25.1529, 27.1529 and 29.1529.
  • Developed FAA/ODA policies on "Conformity Requirements for Prototype Parts and Test Articles" to reduce conformity deviations and maximize efficiency.

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24. MRI

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Here's how MRI is used in Certification Specialist jobs:
  • Obtain authorization of MRI's, CAT scans, Synvisc and epidural injections and all medications.

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25. Icd-9

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Here's how Icd-9 is used in Certification Specialist jobs:
  • Verified ICD-9 codes and HCPCS codes on submitted requests being processed in Logician, QNXT and EZcap database.

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26. Hipaa

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Here's how Hipaa is used in Certification Specialist jobs:
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • Maintained confidentiality of patient information as per HIPAA guidelines.
  • Comply with all State WAC and Federal HIPAA requirements.
  • Trained families in pre-service curriculum, CPR/AED/ First Aid, Universal Precautions, HIPAA compliance, and psychotropic medication administration.
  • Protect rights of patients via HIPAA Law Responsible for the maintenance of customer bills and Insurance policies authorizations.

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27. Special Projects

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Here's how Special Projects is used in Certification Specialist jobs:
  • Participated in special projects as assigned.
  • Organize and oversee special projects as needed.

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28. EMR

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Here's how EMR is used in Certification Specialist jobs:
  • Use EMR to note prior-authorizations in patients' charts using correct medical terminology, CPT codes and ICD-10 codes.
  • Document patient information obtained at initial appointment assessment and via telephone calls, both manually and into EMR.

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29. Proper Documentation

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Here's how Proper Documentation is used in Certification Specialist jobs:
  • Oversee the Student Program and confirm all student members provide proper documentation to maintain membership status.
  • Ensured all proper documentation has been received or requested.

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30. ISO

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Here's how ISO is used in Certification Specialist jobs:
  • Converted automotive specifications and technical data from ASTM (American Standard Testing Methods) to ISO (International Standard Operations).
  • Maintained a liaison between the lender/guarantee agencies and colleges/universities in the processing of the Loan Verification certificate (LVC).
  • Served as liaison with the Office of International Programs regarding the status and registration of 1,000 students on international study.
  • Act as liaison with the DVA and UMUC's Veteran Academic Advising and Degree Audit departments when intervention is required.
  • Update computer files with all current information on clients, log in complaints and report all findings to supervisor.
  • Resolve billing issues acting as liaison between patient, insurance carrier and patient financial services department.
  • Served as a liaison between patients and physicians to assist patients in understanding their treatment plans.
  • Act as the Staff Liaison for a group of attorneys specializing in this area.
  • Hired as Medical Certification Specialist and promoted to Supervisor inside of 7 months.
  • Acted as primary liaison between the clinic, hospitals, and claims adjuster.
  • Collaborated with team leads and supervisors to complete complex projects on a deadline.
  • Communicate issues to the Supervisor or Lead immediately to ensure swift resolution.
  • Monitor cash box and report balance to supervisor and accounting department monthly.
  • Acted as liaison with other social service case managers/agencies for services needed.
  • Acted as liaison between Innovation and Aircraft Engineering/Operations (AOD).
  • Supervised co-workers in the absence of a supervisor.
  • Help assist Supervisors and Leads.
  • Established and maintained communication with all necessary GHS providers, patient and staff Acted as a liaison for all financial matters.
  • Planned and executed an ISO [ ] compliant Quality Management System within three months of hire.
  • Served as a liaison between the international vendor sites and internal stakeholders (i.e.

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31. Ensure Compliance

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Here's how Ensure Compliance is used in Certification Specialist jobs:
  • Review incoming mill material certification to ensure compliance to purchase orders and specifications.
  • Assisted with facility design of new and renovated areas to ensure compliance with regulations.
  • Completed internal audits of client cases to ensure compliance with policies and procedures.
  • Processed documents to ensure compliance with the corrective actions.
  • Conduct inspections to ensure compliance with state standards.
  • Maintain files to ensure compliance with licensing standards.

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32. Monthly Reports

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Here's how Monthly Reports is used in Certification Specialist jobs:
  • Prepared daily, weekly and monthly reports, to include tracking of all temporary housing units leased.
  • Perform monthly reports and supports various departments as needed.
  • Verify member eligibility and benefit limitations.Compiled statistics for monthly reports and analysis.

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33. Computer System

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Here's how Computer System is used in Certification Specialist jobs:
  • Coordinate training schedule of computer system to new hires.
  • Handled special projects such as mechanizing safety deposit box module on ITI computer system.
  • Documented all pre certification in Intellidose and Next Gen computer system.

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1 Computer System Jobs

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34. Outpatient Procedures

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Here's how Outpatient Procedures is used in Certification Specialist jobs:
  • Register patients and set up payment plans prior to outpatient procedures.
  • Obtained pre-certification or authorization if required foal l outpatient procedures via website or direct call.
  • Review, evaluate verify and process assigned pre-certification requests for Outpatient procedures.

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35. Telephone Calls

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Here's how Telephone Calls is used in Certification Specialist jobs:
  • Receive and prioritize telephone calls, business visitors, and incoming mail; route mail and inquiries to proper personnel.
  • Managed high volume of telephone calls from the call center and participant complaints.
  • Be available in the ACD group to answer telephone calls within 3 rings.
  • Service high volume of telephone calls using a que line.

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36. Oversaw

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Here's how Oversaw is used in Certification Specialist jobs:
  • Maintained statistics for each exam administration and oversaw 50,000 certification records.
  • Designed system with software team and oversaw testing, strategic communication plan, and demos for customers.
  • Meet daily quotes for incentive program Coordinated and oversaw a FISH committee for the office.

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37. Office Staff

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Here's how Office Staff is used in Certification Specialist jobs:
  • Gathered pertinent information from insured, family members, physician's office staff and hospital staff.
  • Work with doctor's office staff to determine if authorizations are needed prior to procedures.
  • Supervised two (2) office staff members who assist with student tuition overpayment issues.
  • Assist physician office staff with scheduling issues in a timely manner.

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38. Certification Requirements

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Here's how Certification Requirements is used in Certification Specialist jobs:
  • Traveled to overseas to learn certification requirements and to establish business contacts with certification agencies.
  • Conduct first home inspections for certification requirements.
  • Verify patient eligibility and pre-certification requirements through On-line verification software or by telephone.

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39. Physical Therapy

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Here's how Physical Therapy is used in Certification Specialist jobs:
  • Processed precertification from insurance companies for clients to receive physical therapy.

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40. Powerpoint

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41. Procedure Codes

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low Demand
Here's how Procedure Codes is used in Certification Specialist jobs:
  • Obtained authorization with correct ICD-9 and Procedure codes.

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42. External Customers

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low Demand
Here's how External Customers is used in Certification Specialist jobs:
  • Cultivated relationships with external customers, administrators.
  • Research problems and negotiate with internal partners and external customers to resolve highly complex and/or escalated and sensitive issues.
  • Provide employees with tools to maintain and increase service levels to both internal and external customers.

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43. Hippa

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low Demand
Here's how Hippa is used in Certification Specialist jobs:
  • Adhere to all Hippa guidelines as well as office policies and procedures.

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44. Osha

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low Demand
Here's how Osha is used in Certification Specialist jobs:
  • Ensured quality control and complied with GMP, GLP, CLIA, OSHA, safety and risk-management guidelines.

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45. Computer Programs

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low Demand
Here's how Computer Programs is used in Certification Specialist jobs:
  • Use of Sallie Mae computer programs and multi-line phone to assist customers.
  • Utilize computer programs: Meditech, ReDoc, AllScripts and Medicare.

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46. Test Cases

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low Demand

47. Scheduling Appointments

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low Demand
Here's how Scheduling Appointments is used in Certification Specialist jobs:
  • Provided customer service by answering the phones scheduling appointments as necessary.

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48. Inspection Reports

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low Demand
Here's how Inspection Reports is used in Certification Specialist jobs:
  • Review inspection reports and make certification decisions for certified organic farmers and processing facilities.

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49. Patient Accounts

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low Demand
Here's how Patient Accounts is used in Certification Specialist jobs:
  • Interviewed patients to obtain complete and accurate demographic, financial and insurance information required for billing and collecting patient accounts.
  • Updated patient accounts and information on a daily basis.
  • Post line items and adjustments to patient accounts.

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50. Physician Offices

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low Demand
Here's how Physician Offices is used in Certification Specialist jobs:
  • Direct communication with outside sources (i.e., adjusters, physician offices, etc.).
  • Answered incoming calls from vendors, physician offices and patients regarding authorizations.
  • Speak with community agencies and physician offices to restore electric * Experience in SAP * Document pledges or medical certifications

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20 Most Common Skills For A Certification Specialist

Surgical Procedures

21.0%

Insurance Companies

19.7%

Customer Service

7.9%

Data Entry

7.7%

Certification Process

5.9%

Medical Records

3.6%

Medicaid

3.5%

Assurance

3.0%

Radiology

3.0%

CPT

2.8%

State Regulations

2.8%

Medical Procedures

2.8%

Patient Care

2.6%

Medical Necessity

2.1%

HUD

2.1%

Phone Calls

2.1%

High Volume

2.0%

Nist

2.0%

Clinical Staff

1.9%

Durable Medical Equipment

1.4%
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Typical Skill-Sets Required For A Certification Specialist

Rank Skill
1 Surgical Procedures 16.4%
2 Insurance Companies 15.4%
3 Customer Service 6.2%
4 Data Entry 6.0%
5 Certification Process 4.6%
6 Medical Records 2.8%
7 Medicaid 2.7%
8 Assurance 2.4%
9 Radiology 2.4%
10 CPT 2.2%
11 State Regulations 2.2%
12 Medical Procedures 2.2%
13 Patient Care 2.1%
14 Medical Necessity 1.7%
15 HUD 1.6%
16 Phone Calls 1.6%
17 High Volume 1.6%
18 Nist 1.6%
19 Clinical Staff 1.5%
20 Durable Medical Equipment 1.1%
21 Insurance Certificates 1.0%
22 Technical Assistance 1.0%
23 FAA 0.9%
24 MRI 0.9%
25 Icd-9 0.9%
26 Hipaa 0.9%
27 Special Projects 0.9%
28 EMR 0.8%
29 Proper Documentation 0.8%
30 ISO 0.8%
31 Ensure Compliance 0.8%
32 Monthly Reports 0.8%
33 Computer System 0.8%
34 Outpatient Procedures 0.8%
35 Telephone Calls 0.8%
36 Oversaw 0.7%
37 Office Staff 0.7%
38 Certification Requirements 0.7%
39 Physical Therapy 0.7%
40 Powerpoint 0.6%
41 Procedure Codes 0.6%
42 External Customers 0.6%
43 Hippa 0.6%
44 Osha 0.6%
45 Computer Programs 0.6%
46 Test Cases 0.6%
47 Scheduling Appointments 0.6%
48 Inspection Reports 0.5%
49 Patient Accounts 0.5%
50 Physician Offices 0.5%
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21,920 Certification Specialist Jobs

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