Pre-Certification Coordinator II; Remote - Orthopedic Surgery

Employer Industry: Healthcare Services

Why consider this job opportunity:

• Salary up to $34.21/hour
• Up to 22 days of vacation, 10 recognized holidays, and sick time
• Competitive health insurance packages with priority appointments and lower copays/coinsurance
• Opportunities for career advancement and growth within the organization
• Access to wellness challenges, mental health resources, and financial assistance
• Tuition coverage for you and your family after seven years of employment

• Complete complex pre-certifications for specialized services based on therapy and treatment plans
• Verify insurance eligibility and authorization information for existing pre-certifications
• Collaborate with clinical staff and providers to resolve add-ons, denials, and peer-to-peer issues
• Document all pertinent authorization information in the EPIC system
• Assist with denials, rejections, and appeals as assigned

• High school diploma or equivalent high school certification or combination of education and/or experience
• Minimum of 3 years of work experience in Clinical Office, Medical Billing, Health Information Management, or Pre-Certification
• No specific certification/professional license required for this position
• Ability to perform essential functions of the position satisfactorily
• Strong communication and detail-oriented skills

• Associate degree
• Certified Professional Coder (CPC) or Registered Health Information Technician (RHIT) certification
• Proficiency in Epic EHR and insurance claim processing software
• Experience in a fast-paced environment with strong multitasking abilities
• Familiarity with medical coding software and insurance terminology

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