Pre-Certification Specialist
Pre-Certification Specialist
Posted on :
24-04-2025
Employer Active
1 Vacancy
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Job Description
We are looking to add someone to our team who can work in a fastpaced environment with great customer service has great attention to detail and can quickly adapt to change throughout the day. If you have medical insurance and prior authorization experience who promotes positivity this position is for you.
ABOUT BONE & JOINT
Bone and Joint has one of the most comprehensive teams of orthopedic pain management podiatric physical and occupational therapy experts in Northcentral Wisconsin. We arent a division of another corporate healthcare organization; Bone & Joint belongs to us and we have numerous locations throughout Central Wisconsin. Our mission is to be the Best place for patients to receive care the Best place for employees to work and the Best place for physicians to practice medicine.
A DAY IN THE LIFE OF A PRECERTIFICATION SPECIALIST
Being a part of the PreCertification/Verification of Benefits Team you will complete a variety of tasks each day in a very fastpaced environment. Our PreCertification Specialists work with several different departments throughout Bone & Joint. You will work and communicate daily with our Providers their clinical teams Ambulatory Surgery Center teams Registration coding & billing team Therapy teams along with outside companies such as Insurance carriers and other outside hospital systems. Primarily you will be completing insurance prior authorizations via online or over the phone for procedures surgery High end imaging DME etc. that our ordered by our providers. We also complete verification of benefits for all patients to ensure they have active coverage and a plan that Bone & Joint accepts at our clinics and Walkin locations.
QUALIFICATIONS FOR A PRECERTIFICATION SPECIALIST
High school diploma or equivalent
Patience and ability to work with people at all levels internal and external required.
Must have great attention to detail.
1 plus years experience with online and telephone prior authorizations for services.
Experience and knowledge of all types of insurances (government commercial programs private).
WORK SCHEDULE
Workdays of a PreCertification Specialist are Monday through Friday 8:00AM to 5:00PM with an hour lunch or 8:00AM to 4:30PM or 8:30am 5pm with a 30minute lunch based on business needs. Additional flexibility may be offered after the probation period and based on business needs.
READY TO JOIN OUR TEAM
If you think you have what it takes to do this job then the next step is to fill out our online application. Dont worry the application is pretty simple as it asks for your resume and to answer some questions to help us get to know you better. We should warn you though if you are selected to move forward in the hiring process we will require that you provide us with further details to help us further understand your interest.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
Key Skills
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