Pre-Certification Specialist

Position: Pre-Certification Specialist
Department: Finance
Reports to: Reimbursement Director
FLSA Status: Non-exempt
Pay Type: Hourly
Position Type: Full-time
Effective Date: May 25, 2016

Position Summary:
Responsible for working directly with insurance companies and obtaining approval for various procedures scheduled by SSI providers.

Working Conditions:
Sitting, standing, walking, bending, stooping, twisting, reaching overhead and lifting up to 40lbs.

Primary duties include, but are not limited to:

  1. Per-certify all Practice procedures
  2. Verify benefits for patients
  3. Work with Receptionist and Medical Assistants on schedule conflicts, benefits and deductibles, and surgery patients
  4. Report denials to Medical Assistants
  5. Calculate percentages for payments and report amounts to be collected

Position Requirements:

  1. High school diploma or equivalent
  2. 3 years of related experience in medical insurance certifications and coding
  3. Must have experience in coding ICD-9 and CPT
  4. Effective interpersonal skills
  5. Excellent verbal and written communication skills
  6. Medic knowledge helpful
  7. Ability to multi-task, self-motivated, team player, and attention to detail

Click here to apply for the position

EEO/M/F/V/D Employer