PreCert Specialist

Optim Orthopedics is seeking (2) PRN Pre-Certification Specialist(s) for our Savannah location.

Job Requirements:

Primary Duties:

Reviews clinic schedules 48 hours in advance of appointment for designated locations and checks all eligibility and benefits to ensure patient insurance is active. Will be required to contact patient if there is an issue with their insurance in advance of the appointment. Updates copay information in Athena and provides notes in the patient account for the front desk regarding co-insurance, deductibles due and collections of any balances due prior to patient's appointment.
Responsible for verifying that authorizations are obtained and attached to the appropriate appointments at the time of the visit to ensure claim is submitted correctly and accurately. Promptly answer all incoming calls within 3 rings in a professional and efficient manner. Using a tone that conveys warmth, empathy and patience.
Demonstrates a courteous, friendly and professional demeanor while answering and routing phone calls. Illustrates efficiency regarding patient and doctor inquiries by responding to their needs in a timely manner. Accurately enters all patient demographics and insurance information into the system.
Runs initial eligibility to ensure accurate insurance information obtained. Obtains any authorizations as needed and accurately inputs and ties authorization to the patient's appointment. Maintains a professional demeanor even when callers are upset, and contacting a supervisor if necessary. Handles all referrals from outside physician offices in a timely manner. Requests patient medical records and signed releases as required. Maintains a high level of confidentiality when servicing patients. Performs routine and some non-routine, continuous work involved with the operation of telephone call center. Maintains a knowledge of the practice "phone tree" therefore transferring calls appropriately. May be required to work flexible hours and some weekends. Maintains area of special assignment. Other duties as assigned

Optim Offers:

• Competitive Pay
• Company Benefits
• Paid Time Off
• Holiday Pay
• 401K Plan