Pre-Certification Specialist
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Pinnacle Orthopaedics & Sports
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Pre-Certification Specialist
Pinnacle Orthopaedics & Sports
Posted 3 months ago
Full Time
Marietta, Georgia
In Person
Smart Summary
Responsibilities
The specialist is responsible for obtaining insurance verification and pre-certification for various medical procedures and DME. They enter benefit information into ECW and coordinate with the billing department while managing patient co-pays.
Qualifications
You have at least one year of experience in pre-certification, demonstrating proficiency in contacting insurance companies to obtain verification and pre-authorization for procedures. You are also skilled in accurately entering benefit information into patient records and understanding various insurance plans.
Must Have Skills for ATS
pre-certification
insurance verification
pre-certification authorization
Medicare
ECW
Job Description
Description
· Insurance companies are contacted to obtain insurance verification and pre-certification for all surgeries, EMG/NCS, Visco-supplemental injections and DME.
· Enters benefit information and pre-certification authorization into guarantor notes in ECW and routes the order to billing department.
· Maintains a working knowledge of Medicare, commercial insurance plans, etc.
· Schedules and reviews patients estimated co-pay, co-insurance or deductibles for Visco-supplemental injections once approved.
· Answers phones and provides routing information to callers.
Requirements
1 year of precertification experience required.
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Pinnacle Orthopaedics & Sports
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