Surgery Precertification Specialist

5 days ago


Houston, Texas, United States OrthoLoneStar PLLC Full time
Surgery Precertification Specialist

At OrthoLoneStar PLLC, we are seeking a highly skilled and detail-oriented Surgery Precertification Specialist to join our team. As a key member of our healthcare team, you will play a critical role in ensuring seamless patient care and efficient surgical procedures.

Key Responsibilities:
  • Obtain Surgery Authorizations: Collaborate with physicians to obtain pre-authorizations for surgical procedures, ensuring timely and effective communication with insurance providers.
  • Insurance Plan Analysis: Analyze patient insurance plans to determine financial responsibility, verifying benefits and eligibility to ensure accurate billing and reimbursement.
  • Patient Communication: Provide exceptional customer service to patients, answering questions and addressing concerns in a professional and empathetic manner.
  • Financial Management: Collect surgery deposits from patients in a timely manner, maintaining confidentiality and security of cash, checks, and credit card information.
  • Team Collaboration: Work closely with office staff, adjusters, and other healthcare professionals to ensure seamless patient care and efficient surgical procedures.
Requirements:
  • Education: High School Diploma or equivalent (GED) required.
  • Experience: 1-3 years of experience in a healthcare environment or relevant equivalent required.
  • Skills: Prior experience in customer service, knowledge of different insurance plans, and ability to research complex issues required.
What We Offer:

As a Surgery Precertification Specialist at OrthoLoneStar PLLC, you will have the opportunity to work in a fast-paced and dynamic environment, collaborating with a talented team of healthcare professionals. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.



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