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Pre-Certification Specialist at Pinnacle Orthopaedics & Sports

Marietta, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

20 Aug, 26

Salary

0.0

Posted On

22 May, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Pre-certification, Medical Billing, ECW, Patient Scheduling, Insurance Knowledge

Industry

Medical Practices

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.

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.