Arlington, TX, 76015, USA
15 days ago
Pre-Certification Specialist
**DESCRIPTION** **RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:** • Verifies insurance coverage to ascertain deductible and coinsurance amounts, obtaining precertification/authorization for durable medical equipment and other services as needed. • Notifies patients of expected financial responsibility that will be due at the time of service. • Schedules pre-authorized services and follow-up office visits as needed. • Provides explicit instructions to patients regarding time of arrival, place of service, and documentation necessary for office visits. • Enters benefits and precertification/authorization into EMR system (Referral Management). • Coordinates with referring physician offices when necessary to pre-authorize services. • Coordinates with AOA business office to evaluate and resolve reimbursement issues. • Maintains work area in a neat and orderly manner at all times. • Attends scheduled staff meetings. • Availability to work in the office setting Monday-Friday. • Additional responsibilities as assigned by Director of CBO. **Requirements** **EDUCATIONAL REQUIREMENTS:** • High School Diploma/GED or equivalent experience. QUALIFICATIONS AND EXPERIENCE • Computer literate, with keyboard skills-working knowledge of practice management software. • One or more years of DME experience. • One or more years’ experience in insurance verification / precertification in a medical office or hospital setting preferred. • Knowledge of medical terminology. • One year or more of work experience in various areas of medical insurance preferred. • Knowledge of CPT and ICD-9 coding of DME. • Pleasant speaking voice and demeanor. • Neat, professional appearance. • Ability to perform in a highly stressful situation. • Ability to multitask. • Ability to focus and maintain direction in the tasks at hand under pressure. • Ability to establish effective working relationships with patients, physicians, insurance representatives and other medical support staff. • Background in medical terminology and orthopedics preferred. • Ability to analyze various medical situations for scheduling purposes **REQUIREMENTS** **Dress Code: Work provided Top and professional bottoms.** **Company:** Arlington Orthopedics Associates **Job Type:** Full-time **Address:** 800 Orthopedic Way, Arlington, TX, 76105
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