INSURANCE PRECERTIFICATION MVAWCOON

HESS SPINE AND ORTHOPEDICS LLC; Fairfield (NJ); On-site; USD 34,440 - 39,950; Full time

Benefits offered by this job

401(k)

Competitive salary

Health insurance

Paid time off

Job summary

HESS SPINE AND ORTHOPEDICS LLC in Fairfield, NJ is seeking a dedicated Precertification and Insurance Verification Specialist for in-person work. The role focuses on precertifying and verifying benefits for PIP and major medical plans, ensuring accurate, timely processing and strong coordination with healthcare teams.

The ideal candidate will have 3 years of PIP precertification and 2 years of insurance verification experience, with proficiency in MS Office and EMR/EHR systems.

Qualifications

• PIP precertification: 3 years required
• Insurance verification experience: 2 years required
• Experience with precertification and verification of benefits for PIP and major medical health insurances.

Responsibilities

• Collaborate with team to identify and implement process improvements.
• Analyze data and prepare reports to support decision-making.
• Assist in the development and execution of projects, ensuring timelines are met.
• Provide exceptional support to internal and external stakeholders, addressing inquiries and resolving issues promptly.
• Maintain accurate records and documentation related to projects and operations.
• Participate in training sessions to enhance skills and knowledge relevant to the role.

Skills

Data analysis

Communication

MS Office

Attention to detail

Independent work

Tools

EMR/EHR software

Job description

Benefits

• 401(k)
• Competitive salary
• Health insurance
• Paid time off

Job Overview

Job Overview MUST HAVE EXPERIENCE WITH PRECERTIFICATION /VERIFICATION OF BENEFITS FOR PIP, AND ALSO EXPERIENCE WITH HEALTH INSURANCE BENEFITS. We are seeking a dedicated and detail-oriented precertification and insurance verification Specialist to join our dynamic team. PIP and major medical health insurances. The ideal candidate will play a crucial role in supporting various functions within the organization, ensuring that processes run smoothly and efficiently. This position requires a proactive individual who can manage multiple tasks while maintaining a high level of accuracy and professionalism.

We encourage all qualified candidates who meet the above criteria to apply for this exciting opportunity to contribute significantly to our organization as a Specialist.

Responsibilities

• Collaborate with team members to identify and implement process improvements.
• Analyze data and prepare reports to support decision-making.
• Assist in the development and execution of projects, ensuring timelines are met.
• Provide exceptional support to internal and external stakeholders, addressing inquiries and resolving issues promptly.
• Maintain accurate records and documentation related to projects and operations.
• Participate in training sessions to enhance skills and knowledge relevant to the role.

Skills

• Strong analytical skills with the ability to interpret data effectively.
• Excellent communication skills, both written and verbal, for clear interaction with team members and stakeholders.
• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and EMR/EHR software tools.
• Attention to detail with strong organizational skills to manage multiple tasks efficiently.
• Ability to work independently as well as collaboratively within a team environment.
• Problem-solving mindset with a focus on continuous improvement.

Job Details

Job Type: Full-time
Pay: $25.00 - $29.00 per hour
Expected hours: 40 per week
Schedule: 8 hour shift Monday to Friday

Experience

• PIP PRECERT: 3 years (Required)
• INSURANCE VERIFICATION: 2 years (Required)

Location

Work Location: In person
FAIRFIELD, NJ 07012; must relocate before starting work