Job description:
If you’re looking for a rewarding career that contributes to helping people restore their active, pain-free lives, consider joining the Kayal Orthopaedic Center team. We currently have an exciting opportunity for a PT/Chiro Pre-Certification Specialist based in Glen Rock, NJ. ·
Responsibilities:
Familiarity with Workers Compensation, Motor Vehicle and Personal Injury carriers and their guidelines.
- Contact insurance carriers to verify patients' insurance eligibility benefits and requirements
- Work in collaboration with the medical sites to obtain any additional clinical documentation that can be forwarded to insurance carrier.
- Request, obtain, and track pre-authorizations from Insurance carriers within time allotted for medical services
- Communicate in a timely manner with providers, Insurance companies and all other required personnel to obtain all documentation required for pre-service authorizations.
- Follow up with insurance companies to ensure services are eligible for reimbursement.
- Submit preservice appeals in a timely manner
- Provide direct support to all providers
- Maintain a level of productivity suitable for the department.
- Submit prior authorization to multiple Insurances companies via form, fax, or online
- Attention to detail and timely follow up skills.
- Maintain confidentiality and adhere to HIPAA and other regulations.
- Work effectively in a team environment.
- Strong ability to identify, analyze and solve problems.
- Self-motivated and approach tasks with a positive, proactive demeanor.
- Proactively supports management as well as the objectives and goals of the department
- Excellent verbal and written communication skills
- Knowledge of Excel is preferred
- Knowledge of E-Clinical Works preferred, but not mandatory.
Pay: $23.00 - $24.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person
