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
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
- 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
- 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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