Orthopaedic Pre-Certification Specialist
4 weeks ago
Job Summary:
We are seeking a highly skilled and detail-oriented Orthopaedic Pre-Certification Specialist to join our team at Orthopaedic Solutions Management. As a key member of our Patient Services team, you will be responsible for ensuring that our patients receive the best possible care by verifying insurance coverage, obtaining pre-authorizations, and coordinating with healthcare providers to ensure seamless care transitions.
Key Responsibilities:
- Verify Insurance Coverage: Confirm patient insurance coverage and benefits to ensure that our patients receive the necessary care.
- Obtain Pre-Authorizations: Obtain pre-authorizations from insurance companies to ensure that our patients receive the necessary care.
- Coordinate with Healthcare Providers: Coordinate with healthcare providers to ensure seamless care transitions and to obtain necessary medical information.
- Manage Patient Records: Manage patient records to ensure that all necessary information is up-to-date and accurate.
- Communicate with Patients: Communicate with patients to ensure that they understand their insurance coverage and benefits.
- Collaborate with Team Members: Collaborate with team members to ensure that all necessary tasks are completed in a timely manner.
Requirements:
- High School Diploma: A high school diploma or equivalent is required.
- Medical Experience: 1 year of experience in a medical environment is required.
- Insurance Verification Experience: Experience in insurance verification and pre-authorizations is required.
- Communication Skills: Excellent verbal and written communication skills are required.
- Problem-Solving Skills: Strong problem-solving skills are required to resolve complex insurance and medical issues.
What We Offer:
- Full-Time Opportunities: Full-time opportunities are available with room for career growth and advancement.
- Excellent Job Security: Excellent job security and stability to promote an optimal work-life balance.
- Dynamic Team Environment: Be part of a dynamic and growing high-level Patient Services team.
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