Precertification Representative

Princeton Medical Group•Princeton, NJ

17h•$22 - $23•Onsite

About The Position

Be a part of our talented and growing team! Are you looking for a Full-Time Precertification Representative position in an office setting? At Princeton Medical Group, we are looking for dedicated individuals to join our dynamic team to support our wide variety of medical specialties! Princeton Medical Group, P.A. We are a private medical practice with over 30 providers and 8 medical specialties. Our mission has always been to deliver excellent medical care with compassion.

Requirements

Previous precertification experience
Excellent customer service skills for dealing with both internal and external customers
Knowledge of insurances and precertification processes
Knowledge of medical terminology and the ability to interpret medical charts

Nice To Haves

1 year of experience with ICD-10 billing processes

Responsibilities

Obtain precertification's for testing/procedures.
Communicate with nursing staff all necessary information concerning precertification for patients.
Stay actively abreast of changes in insurance company requirements and guidelines and relay changes as they occur to staff.
Use manual and computerized systems to obtain precertification's.
Track appeals for denied requests to insurance companies.
Complete follow up tasks related to active and pending reviews
Coordinate peer to peer sessions as needed.
Establish and maintain logs to ensure historical patient and office activities are available for review by doctors or nursing staff.
Adhere to strict confidentiality guidelines.