We are seeking a Precertification Specialist for an immediate full-time position at our Hackettstown location.

Candidate must be experienced with all aspects of insurance verification, referrals and the authorization process in regard to medical testing. Candidate must be familiar with all forms of commercial insurance plans, PIP claims and Workmen's Comp policies.

JOB SUMMARY: Responsible for verifying insurance on our schedule and obtaining pre-authorization as needed.

MINIMUM QUALIFICATIONS REQUIRED

Education: High School Degree

Employees who work in the Precert department must be motivated, organized, and a team-player with a positive attitude. Duties include but not limited to:

· Must be familiar with codes, “Red” (requires immediate attention and review) and Green (approved status) on RIS scheduler.

· Verifies all insurance coverage on the schedule that is in Red, adjusts to Green after study is verified to completion by the close of each business day.

· Verification includes any and all in-network and out of network facilities and Medicare.

· Obtains precertification for physician’s office if applicable.

· Determines patient qualification for coverage and notes patient accounts respectively

· Maintains current list of facility insurance precert agreements

· Responsible for entering any missing data by schedulers (i.e.: Bloodwork, screening questions, etc.)

· Inform management of any changes required in obtaining pre-authorizations in order to update and keep the Pre-certification manual accurate

· Versatile and willing to coordinate with and participate in, when necessary, all other aspects of our other Business Offices and locations

· Performs other duties as assigned and deemed necessary by management

Experience and Education:

· Billing experience a plus but not required

· High School Diploma

Required Skills

· Excellent written and verbal communication skills

· Strong technical skills

· Medically knowledgeable and willing to learn

· Positive and friendly disposition

· Organized and patient oriented

· Handles patients with care and compassion

· Strong follow up skills

· Works well in a team environment

· The ability to work well under pressure

Technical Sills

· Microsoft

o Word

o Excel

· PC Computers

Job Type: Full-time

Experience:

Pre-Certification: 1 year (Preferred)

Work Location:

One location

Benefits:

Health insurance

Dental Insurance

Vision insurance 
Retirement plan
Paid Time Off

Sick Time

Flu Vaccination Requirement: It is ImageCare's Company Policy that all personnel must be vaccinated with the yearly flu shot.

ImageCare Centers provided the following inclusive hiring information: We are an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.