Arlington, TX, 76015, USA
1 day 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 **Company:** Arlington Orthopedics Associates **Job Type:** Full-time **Address:** 800 Orthopedic Way, Arlington, TX, 76105
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