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Precertification Specialist

North American Pain and Spine Institute
Clifton, NJ Full Time
POSTED ON 5/15/2024 CLOSED ON 6/2/2024

Job Posting for Precertification Specialist at North American Pain and Spine Institute

Basic Function: Responsible for all activities associated with the pre-certifying surgeries and Ancillary procedures within established corporate guidelines.

Responsibilities:

  •  Continually check providers' schedules for any updated orders.
  •  Complete Pre-cert form with patient’s information.
  •  Call to verify patients’ insurance and check for Out of Network benefits.
  • Call no-fault insurances to verify claims and status' of claims.
  •  Initiate Pre-certification and send and/or fax clinicals (MRI, X-ray, CT Scan, Clinical notes).
  •  Scan in correspondence for the patient in their charts.
  •  E-mail or call hospital/surgery center to provide them with the authorization number after a surgery is approved.
  •  Scanning all Pre-certifications into the patient charts.
  •  Perform other related duties as assigned.

Skills:

  •  Oral Communication
  •  Written Communication
  •  Professionalism
  •  Written Communication
  •  Medical Terminology
  •  Time Management
  •  Organization
  •  Planning
  •  Presentation
  •  Reading
  •  Computer Literacy

Education/Training: High school diploma or equivalent

Experience: Prior work experience preferred. Prior experience in No-Fault and Worker's Compensation (NY-NJ) a must!!!!

Job Type: Full-time

Pay: $19.00 - $22.00 per hour

Benefits:

  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Weekly day range:

  • Monday to Friday

Experience:

  • Insurance verification: 1 year (Preferred)
  • Medical billing: 1 year (Preferred)
  • Medical office: 1 year (Required)

Language:

  • Spanish (Preferred)

Work Location: In person

Salary : $19 - $22

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Estimate Salary for Precertification Specialist in Clifton, NJ
$50,886 (Medium)
$45,699 (25th)
$56,074 (75th)
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