Pre-Certification Specialist

Location 45 Danbury Rd,Wilton, CT, 06897,United States Base Pay $21.00 - $23.00 / Hour Employee Type Non-Exempt - FT

GENERAL STATEMENT OF DUTIES

Responsibilities include pre-certification/authorization of all diagnostic testing and in-office injections, as well as scheduling diagnostic testing. Schedule: Monday-Friday 8am-5pm 401(k) matching + profit sharing FSA/HSA options Life insurance/AD&D/STD/LTD Paid time off Employee Discount Program Wellness Program

RESPONSIBILITIES / WORK REQUIREMENTS

Pre-Certification Verifies insurance coverage to obtain precertification/authorization for all radiology tests, specialty injections, and other services as needed. Maintains contact with testing facilities regarding scheduled tests/STAT orders Faxes all pre-authorized services to facilities, and makes any changes, as needed. Enters benefits and precertification/authorization into EMR system. Follows up daily on all pending orders, obtaining office notes if needed for insurance companies

REQUIRED KNOWLEDGE

High school graduation or GED; post graduate degree preferred At least one year of work experience in a medical office setting Knowledge of medical office procedures and insurance verification and Pre-Certification Ability to demonstrate a mature, dependable, and responsible approach when interacting with patients, physicians, co-workers, and additional outside sources Understands referral requirements of major third party payers Ability to multi-task, prioritize and exceptional attention to detail Excellent organizational, verbal and written communication skills OrthoConnecticut is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. The above statement reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the job. #J-18808-Ljbffr Kids for the Future