Pre-Certification Surgery Specialist (On-Site)

Job Description

Job Description

Description:

Work Type: Full-Time | Non-Exempt   

Practice Introduction:

Princeton Orthopaedic Associates (POA), a division of OrthoNJ, is a Community of Extraordinary Care professionals serving Central New Jersey since 1974. With 29 physicians, including 19 Orthopaedic surgeons, across 7 office locations, urgent care centers, and surgical center, POA operates as an outcome-focused orthopaedic practice that combines extraordinary talent, advanced techniques, and cutting-edge tools with compassionate service. As part of New Jersey's largest independent orthopaedic group practice, POA physicians work collaboratively to provide personalized, patient-centered care while maintaining the values and autonomy of the private practice model.

Princeton Orthopaedic Associates is built on a foundation of compassion, patient focus, quality, collaboration, honesty, and excellence. We are a community where every team member—regardless of role—is expected to embody these values in their daily work, hold themselves and colleagues accountable to high standards, and speak up when behavior falls short of our expectations. We foster a culture of continuous improvement where feedback is welcomed, mistakes become learning opportunities, and successes are celebrated together. As a member of our team, you'll be expected to contribute ideas, mentor new colleagues, and actively participate in creating an environment where both patients and staff thrive.

We are seeking an experienced Pre-Certification Surgery Specialist. As a Pre-Certification Surgery Specialist, you will be responsible for authorizing upcoming surgeries. You will have the opportunity to build and maintain a positive working relationship with the hospitals, patients, and clinical staff. To be successful, you must have a strong ability to multi-task, a strict sense of urgency, be technically savvy, service-oriented, communicate effectively, and consistently display a professional demeanor.

  Key Responsibilities:

• Obtain pre-certifications and pre-determinations for upcoming surgeries
• Request treatment records, as needed, for use in pre-service insurance reviews
• Maintain ongoing communication for the efficient clinic operations
• Ability to work independently and in a team environment
• Must be organized and able to work in a fast paced, high-volume environment with excellent follow-through
• Ability to multi-task while producing accurate work
• Knowledge of medical terminology and familiarity with HIPAA regulations to ensure patient confidentiality
• Ability to navigate electronic medical record systems efficiently
• Assist with miscellaneous tasks and projects, as needed

  Experience / Qualifications:

• At least 1-2 years of previous experience is required (orthopaedics preferred)
• Experience with health information, worker’s comp, motor vehicles, and customer service will be beneficial

Compensation & Benefits:

OrthoNJ, LLC is required by New Jersey law to disclose the compensation range for this position. The hiring range for this role is $20.00-$28.00 per hour. Compensation is determined based on several factors, including but not limited to the candidate’s qualifications, relevant experience, and geographic location. Certain roles may also be eligible for additional compensation, such as bonuses or incentive pay, as well as benefits. Eligible full-time employees are offered a comprehensive benefits package, which may include paid time off, medical, dental, vision, and a retirement plan.

EEO Disclosure: 

POA is an equal opportunity employer.

POA, as a member organization of OrthoNJ, is strongly committed to creating and preserving equal opportunity for all employees and applicants. We make all employment decisions – including recruitment, hiring, compensation, training, promotion, transfer, discipline, dismissal from employment, and other personnel matters – without regard to actual or perceived race, color, ancestry, religion, sex, national origin, age, disability, protected veteran status, marital status, sexual orientation, genetic information, citizenship, gender identity and expression, parental status, or other legally protected characteristics or conduct.