Basic Function: Responsible for all activities associated with the pre-certifying surgeries and Ancillary procedures within established corporate guidelines.

Responsibilities:

•  Continually check providers' schedules for any updated orders.

•  Complete Pre-cert form with patient’s information.

•  Call to verify patients’ insurance and check for Out of Network benefits.

• Call no-fault insurances to verify claims and status' of claims.

•  Initiate Pre-certification and send and/or fax clinicals (MRI, X-ray, CT Scan, Clinical notes).

•  Scan in correspondence for the patient in their charts.

•  E-mail or call hospital/surgery center to provide them with the authorization number after a surgery is approved.

•  Scanning all Pre-certifications into the patient charts.

•  Perform other related duties as assigned.

Skills:

•  Oral Communication

•  Written Communication

•  Professionalism

•  Written Communication

•  Medical Terminology

•  Time Management

•  Organization

•  Planning

•  Presentation

•  Reading

•  Computer Literacy

Education/Training: High school diploma or equivalent

Experience: Prior work experience preferred. Prior experience in No-Fault and Worker's Compensation (NY-NJ) a must!!!!

Job Type: Full-time

Pay: $19.00 - $22.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)
• Medical office: 1 year (Required)

Language:

• Spanish (Preferred)

Work Location: In person