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Spine Team Texas
Grapevine, TX | Full Time
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Spine Team Texas Management Company
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Spine Team Texas Management Company
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Precertification Specialist
Spine Team Texas Grapevine, TX
$38k-47k (estimate)
Full Time | Business Services 0 Months Ago
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Spine Team Texas is Hiring a Precertification Specialist Near Grapevine, TX

Job Responsibilities
  • The Precert/Verification Specialist will be responsible for reviewing all orders to obtain the required precertification for surgeries, injections, and MRIs. In addition, communicating back to Procedure Schedulers when an order has not been completed so a precert can be obtained.
  • This position is responsible for contacting all insurance companies to obtain the pre-certification reference number for any surgeries and/or injections that are to be performed.
  • The position must accurately post pre-certification numbers in case management. In addition, she will provide support to collections team when necessary to obtain proof of insurance requirements necessary to obtain payment for claims.
  • The Precert/Verification Coordinators are responsible for obtaining benefit information for all new patients and established patients that have not had insurance verification within 90 days and perform this task in a timely manner and as required. A) Benefit information consist of Deductible amounts both in and out of network, whether the deductibles cross over, Out of Pocket amounts both in and out of network, benefits for Physical Therapy, co-payments, and co-insurance. Documentation is required in the Patient Registration and Insurance Eligibility box. Position will communicate closely when necessary with the Scheduling Coordinators for East and West locations and the Patient Service Associates located in each clinic when stat verifications arise or information is lacking from the patient to complete the verification process.
  • Other duties and responsibilities may be assigned by the Patient Financial Services Manager.
Customer ServiceAll Spine Team Texas employees are required to maintain the highest level of customer service at all times. Employees must always speak in a kind, courteous and professional manner when dealing with a patient/customer or co-worker. Employees are required to fulfill the Spine Team Texas mission of Offering an Unparalleled Patient Experience! All employees must exhibit a spirit of cooperation and positive attitude. Professionalism is to be maintained at all times.
Educational Requirements & Position Qualifications
  • High School diploma or equivalent is required.
  • Minimum of 3 years Medical Billing or pre-certification experience required.
  • Detail oriented and organizational skills.
  • Computer experience, typing and ability to operate calculator.
  • Ability to effectively communicate with patients and insurance carriers.
  • Possess the ability to work productively, either independently or with other individuals.
  • Possess the ability to plan and execute work projects.
  • Proficient in communicating in the English language both written and verbally.
Coding Certificate or knowledge preferred

Job Summary

JOB TYPE

Full Time

INDUSTRY

Business Services

SALARY

$38k-47k (estimate)

POST DATE

06/01/2023

EXPIRATION DATE

06/12/2024

WEBSITE

spineteamtexas.com

HEADQUARTERS

GRAPEVINE, TX

SIZE

50 - 100

FOUNDED

2005

REVENUE

$10M - $50M

INDUSTRY

Business Services

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About Spine Team Texas

Spine Team Texas is a nationally accredited facility that specializes in non-surgical treatments and minimally invasive spine surgery. At Spine Team Texas, one of our key differentiators is in our name. Our specialists truly work as a team, involving spine fellowship-trained physical medicine and rehabilitation physicians, spine surgeons, nurses, X-ray technicians, physician assistants and spine-focused physical therapists to diagnose and treat back and neck pain. The team approach not only differentiates Spine Team Texas from the competition, but also serves to provide a more comprehensive, c ... ustomized back and neck pain treatment plan for our patients. Spine Team Texas's mission is to deliver the best patient experience through clinical excellence and superior customer service. Our Vision is to create an experience that will result in an unsurpassed reputation of excellence in spine care More
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The following is the career advancement route for Precertification Specialist positions, which can be used as a reference in future career path planning. As a Precertification Specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Precertification Specialist. You can explore the career advancement for a Precertification Specialist below and select your interested title to get hiring information.