Pre Certification Specialist - Orthopedics
ProMedica Central Physicians•Toledo, OH
2d
About The Position
When ProMedica patients prepare for orthopaedic surgeries and injections, the Pre-Certification Specialist performs prior authorization and certification for the services with payers. You will have a general understanding of coding for surgeries and injections and keep a working knowledge of medical criteria relating to prior authorization requirements by third-party payers. The above summary is intended to describe the general nature and level of work performed in this role. I t should not be considered exhaustive.
Requirements
- Associate degree or 5 years of Billing/Insurance Verification experience
- Familiarity with ICD10 and CPT codes applicable to services rendered
- 5 years of relatable or equivalent experience in medical office
Nice To Haves
- Specific knowledge of medical payers
Benefits
- We provide flexible benefits that include compensation and programs to help you take care of your family, your finances and your personal well-being. It’s what makes us one of the best places to work, and helps our employees live and work to their fullest potential.
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
Number of Employees
5,001-10,000 employees
