Precertification Specialist

OrthoAlaskaAnchorage, AK
Onsite

About The Position

As a Precertification Specialist at OrthoAlaska you will verify medical insurance benefits with third party payers for procedures and services requiring pre-certification and other related functions.

Requirements

  • One year of customer service, preferably in the medical industry
  • High school diploma or equivalent
  • Familiarity with CPT and ICD-10
  • Pleasant phone presentation and keen organizational skills
  • Knowledge of primary and secondary coordination of benefits
  • Knowledge of insurance websites, and government program requirements
  • Work proactively for the good of the team and its commitment to patient centered care

Nice To Haves

  • Two (s) years medical office experience
  • Knowledge of insurance and billing processes

Responsibilities

  • Providing outstanding customer service to all patients.
  • Perform insurance verification and prior authorizations.
  • Verify overall health insurance benefits and prepare estimates.
  • Educate patients on insurance coverage limits and options.
  • Work closely with the billing and other departments providing services.
  • As needed compassionately discuss benefits and collect deposits towards procedures.
  • Respond timely to requests for benefits, authorizations and estimates for patient requests.

Benefits

  • Complimentary orthopedic and primary care at OPA and PCA
  • Medical and dental insurance coverage beginning within 30 days
  • Life insurance
  • Disability insurance
  • 401K
  • Profit sharing
  • Employee Assistance Program
  • Paid time off starting at three weeks per year
  • 7 paid holidays per year
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