Precertification Specialist/Registration Floater

Key Responsibilities

• Contact insurance companies to verify benefits and authorization requirements for orthotic and prosthetic devices.
• Communicate benefit information to clinicians and ensure they are up to date on patient coverage.
• Aid with phone calls and messages, and notify patients of their insurance coverage for prescribed items.
• Schedule patient appointments, collect deposits, verify insurance, and assist with check-in and check-out duties.
• Review and prepare patient charts, ensuring all required documentation is present prior to delivery of products.
• Aid in the coordination of patient care, ensuring timely scheduling and appropriate follow-ups.
• Communicate effectively with patients, TOC physicians, and staff regarding all aspects of patient care.
• Ensure that inventory levels are verified before patient appointments.

Qualifications

• A High School Diploma or GED is required.
• Prior experience in medical insurance, with a preference for prior experience in precertification and/or orthotics and prosthetics, is preferred.
• Knowledge of SMX or similar EMR software is preferred.
• Strong communication skills, both verbal and written, are required.
• The ability to handle multiple tasks, manage time efficiently, and work under pressure is essential.
• Outstanding organizational skills and attention to detail are necessary.
• A team player with a positive attitude and the ability to work independently is required.
• Strong initiative and self-discipline are important qualities.