Job Description

JOB DECRIPTION FOR PRE-CERT COORDINATOR

Must have a working knowledge of insurance such as Medicare, Medicaid, Tricare. Know the difference between a copay, coinsurance and deductible. Be able to calculate to calculate the amounts due from patients based on benefits obtained.

Daily completing insurance verifications and prior authorizations for multiple providers in a timely manner. Follow-up on requests submitted and be able to communicate effectively with patients regarding their financial responsibilities to the practice.

Must have a strong attention to detail. Be able to review patient and insurance information received for accuracy and correctly document all information received and ensure that all information entered into the system is correct for claim filing purposes.

Knowledge of CPT and ICD 10 Codes. Able to confirm the accuracy of CPT and ICD 10 codes in physician orders.

SKILLS

Prior medical office insurance authorization and precertification experience.

Excellent computer skills with a working knowledge of Excel, Word and internet use.

A working knowledge of eClinicalWorks software is a plus

Strong data entry skills

Detail oriented with above average organizational skills

Knowledge of medical terminology

Ability to plan and prioritize assigned duties

Ability to multitask and remain focused while continually managing a high-volume and time-sensitive workload.

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EDUCATION

High school diploma

Two years medical prior authorization experience (preferred)

Medical coding and Billing certification

Job Type: Full-time

Pay: $15.00 - $17.00 per hour

Work Location: In person