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Precertification Specialist

Columbia Orthopaedic Group

Description

Position Summary
Are you detail-oriented, organized, and passionate about supporting patient care behind the scenes? At Columbia Orthopaedic Group, our Precertification Specialists play a vital role in ensuring patients receive the care they need, without delays or surprises. If you enjoy working with insurance processes, solving problems, and collaborating with a team, this could be a great fit.

What You'll Do
  • Submit and track prior authorizations with insurance providers
  • Verify patient benefits and coverage requirements
  • Communicate authorization status with patients, providers, and payers
  • Follow up on pending requests to ensure timely approvals
  • Resolve denials and assist with appeals when needed
  • Maintain accurate documentation in the EMR
  • Partner with clinical, scheduling, and billing teams to keep care moving forward
  • Help improve workflows and reduce authorization delays
Requirements

What You Bring
  • High school diploma or equivalent
  • At least 2 years of experience in precertification, insurance verification, or medical billing
  • Comfort working with insurance guidelines and payer systems
  • Strong organizational and multitasking skills
Skills That Set You Apart
  • Knowledge of CPT and ICD-10 coding
  • Experience in orthopaedics or specialty care
  • Strong attention to detail and accuracy
  • Excellent communication skills
  • Problem-solving mindset and adaptability
  • Team-oriented and dependable approach
Vacancy posted 2 days ago
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