Pre-Certification Specialist

Job Type Full-time Description

· Insurance companies are contacted to obtain insurance verification and pre-certification for all surgeries, EMG/NCS, Visco-supplemental injections and DME.

· Enters benefit information and pre-certification authorization into guarantor notes in ECW and routes the order to billing department.

· Maintains a working knowledge of Medicare, commercial insurance plans, etc.

· Schedules and reviews patients estimated co-pay, co-insurance or deductibles for Visco-supplemental injections once approved.

· Answers phones and provides routing information to callers.

Requirements

1 year of precertification experience required.