Basic Function: Responsible for all activities associated with the pre-certifying surgeries and Ancillary procedures within established corporate guidelines.
Responsibilities:
● Continually check providers' schedules for any updated orders.
● Complete Pre-cert form with patient’s information.
● Call to verify patients’ insurance and check for Out of Network benefits.
● Call no-fault insurances to verify claims and status' of claims.
● Initiate Pre-certification and send and/or fax clinicals (MRI, X-ray, CT Scan, Clinical notes).
● Scan in correspondence for the patient in their charts.
● E-mail or call hospital/surgery center to provide them with the authorization number after a surgery is approved.
● Scanning all Pre-certifications into the patient charts.
● Perform other related duties as assigned.
Skills:
● Oral Communication
● Written Communication
● Professionalism
● Written Communication
● Medical Terminology
● Time Management
● Organization
● Planning
● Presentation
● Reading
● Computer Literacy
Education/Training: High school diploma or equivalent
Experience: Prior work experience preferred. Prior experience in No-Fault and Worker's Compensation (NY-NJ) a must!!!!
Job Type: Full-time
Pay: $19.00 - $25.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Weekly day range:
- Monday to Friday
Experience:
- Insurance verification: 1 year (Preferred)
- Medical billing: 1 year (Preferred)
Work Location: In person