What are the responsibilities and job description for the Pre-Certification Specialist position at Pinnacle Orthopaedics?
Description
1 year of precertification experience required.
- 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.
1 year of precertification experience required.