Insurance Precertification Coordinator (REMOTE in NJ or PA)

Medlogix, Llc; Hamilton (NJ); Hybrid; USD 14,000 - 23,000; Full time

Job summary

Medlogix, LLC delivers innovative medical claims solutions and maintains a strong focus on accurate data handling and responsive service. The Pre-Certification Coordinator role handles medical service requests, ensures information completeness, and supports the Pre-Cert Nurse review process.

The position is remote in NJ or PA with a requirement to attend monthly meetings in Hamilton, NJ. A hybrid work arrangement is available, with in-office usage once a month in Hamilton.

Qualifications

• Detail oriented with strong organizational skills.
• Typing skills with 10-key entry a plus.
• Strong written and verbal communication, grammar awareness.
• Strong interpersonal skills and reliability.
• Ability to work independently on multiple tasks.
• Experience with Microsoft Office/Windows.
• 1 year of Data Entry experience.
• 1 year of Customer Service experience.
• 1 year of Medical administration experience.

Responsibilities

• Review medical service requests for completeness and enter data into Medlogix software for Pre-Cert Nurse review.
• Respond to telephone inquiries regarding automobile claims.

Skills

Detail oriented

Typing

Communication

Interpersonal skills

Independent work

Reliability

MS Office

Education

High school or equivalent

Tools

Microsoft Office

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Insurance Precertification Coordinator (REMOTE in NJ or PA)

Full-Time Hamilton, NJ, US

Salary Range: $15.92 To $17.50 Hourly

This is a remote position, but you must be in the NJ or PA region to attend meetings in our Hamilton, NJ office.

Location: Hamilton NJ

Hybrid position. Once a month in Hamilton NJ office

Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.

The Pre-Certification Coordinator receives requests for medical services from the treating healthcare provider’s office. The request is reviewed to ensure all necessary information is received; required data is entered into Medlogix® software for the Pre-Certification Nurse to review. The Pre-Cert Coordinator will also respond to telephone inquiries regarding automobile claims.

Skills:

• Detail oriented and strong organizational skills
• Strong typing skills; 10-key entry a plus
• Strong written and verbal communication skills including rules of composition and grammar
• Strong interpersonal skills
• Ability to work independently handling multiple tasks
• Demonstrated work ethic and reliability
• Microsoft Office / Windows Software

Experience

• 1 year of Data Entry experience
• 1 year of Customer Service experience
• 1 year of Medical administration experience

Preferred, not Required Experience

• Medical Claim Processing
• Medical Billing
• 10 Key Calculator
• Spanish speaking a plus

Education:

• High school or equivalent

Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual.