Insurance Precertification Coordinator (REMOTE in NJ or PA)

MEDLOGIX, LLC • Hamilton Township, NJ

36d • Hybrid

About The Position

Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.

The Pre-Certification Coordinator receives requests for medical services from the treating healthcare provider’s office. The request is reviewed to ensure all necessary information is received; required data is entered into Medlogix® software for the Pre-Certification Nurse to review. The Pre-Cert Coordinator will also respond to telephone inquiries regarding automobile claims.

Requirements

• Detail oriented and strong organizational skills
• Strong typing skills; 10-key entry a plus
• Strong written and verbal communication skills including rules of composition and grammar
• Strong interpersonal skills
• Ability to work independently handling multiple tasks
• Demonstrated work ethic and reliability
• Microsoft Office / Windows Software
• 1 year of Data Entry experience
• 1 year of Customer Service experience
• 1 year of Medical administration experience
• High school or equivalent

Nice To Haves

• Medical Claim Processing
• Medical Billing
• 10 Key Calculator
• Spanish speaking a plus

Responsibilities

• Receives requests for medical services from the treating healthcare provider’s office.
• Reviews requests to ensure all necessary information is received
• Enters required data into Medlogix® software for the Pre-Certification Nurse to review.
• Responds to telephone inquiries regarding automobile claims.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED