Pre-Certification Specialist
Resurgens Orthopaedics · Marietta, GA · 1 mo ago
Information TechnologyFull-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.