Pre Certification Specialist - Orthopedics

ProMedica•Toledo, OH

4d•Onsite

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. It 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.
Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category.
In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact [email protected]
Equal Opportunity Employer/Drug-Free Workplace
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