Precertification Specialist

Precertification Specialist – OPA Lake Otis – Anchorage (Full Time) Schedule: Monday – Friday, 8:00am – 4:30pm Salary: $17.50–$27.00 hourly Benefits Complimentary orthopedic and primary care at OPA and PCA Medical and dental insurance coverage beginning within 30 days Life insurance Disability insurance 401(k) Profit sharing Employee Assistance Program Paid time off starting at three weeks per year 7 paid holidays per year Competitive pay and annual compensation reviews Your Role At OPA Learn more about Orthopedic Physicians Alaska at As a Precertification Specialist at OPA you will verify medical insurance benefits with third party payers for procedures and services requiring pre‑certification and other related functions. What You’ll Do Providing outstanding customer service to all patients. Perform insurance verification and prior authorizations. Verify overall health insurance benefits and prepare estimates. Educate patients on insurance coverage limits and options. Work closely with the billing and other departments providing services. As needed compassionately discuss benefits and collect deposits toward procedures. Respond timely to requests for benefits, authorizations and estimates for patient requests. Why You’ll Excel In This Role You thrive in a fast‑paced work environment and can handle multiple tasks at once. You are familiar with CPT and ICD‑10. You have pleasant phone presentation and keen organizational skills. You have knowledge of primary and secondary coordination of benefits. You have knowledge of insurance websites and government program requirements. You work proactively for the good of the team and its commitment to patient‑centered care. Required Qualifications One year of customer service, preferably in the medical industry. High school diploma or equivalent. Preferred Qualifications Two years medical office experience. Knowledge of insurance and billing processes. Experience with NextGen. Knowledge of imaging pre‑certification. At OPA, you will enjoy opportunities for professional growth in a collaborative environment and exposure to a full range of orthopedic care with orthopedic, injury walk‑in, and rheumatology clinics, an imaging center, athletic training and physical, occupational and massage therapy. FLSA status: Non‑exempt Candidates meeting the above skills and qualifications and desiring to be part of a patient‑centered, professional environment are invited to apply. Core Competencies Synergy: Through collaboration & continuous improvement Empathy: Through compassion & patient‑centered care Integrity: Through trust & ethical accountability Optimization: Through operational efficiency The mission of OrthoAlaska, Orthopedic Physicians Alaska division is to provide the finest orthopedic surgery and musculoskeletal care in North America through quality, patient‑centered care. Each of our physicians and surgeons works in concert with a certified orthopedic surgical physician assistant and other staff to provide patients an individualized care‑team experience. Currently, we have offices in Anchorage, Wasilla, and Eagle River. OPA values quality, patient‑centered care, personal fulfillment through continuous improvement, team development, and community service. We welcome applicants who embrace our core values and possess a daily renewed attitude of excellence. OPA benefits include health and dental insurance, life and disability insurance, 401(k) and profit sharing, as well as paid time off. OrthoAlaska is proud to provide equal employment opportunities to all applicants and employees without regard to race, color, ancestry, national origin, sex, sexual orientation, gender identity, marital status, religion, age, pregnancy, protected veteran status, disability, or other protected categories. #J-18808-Ljbffr