Orthopaedic Pre-Certification Specialist

7001 ProMedica Central Physicians; Toledo (OH); On-site; USD 45,000 - 65,000; Full time

Job summary

ProMedica's Wildwood Orthopaedic & Spine Hospital in Ohio is seeking a Pre-Certification Specialist to perform prior authorization and certification for orthopaedic surgeries and injections with payers. You will have a working knowledge of coding for surgeries and injections and maintain familiarity with medical criteria related to prior authorization requirements by third-party payers.

Qualifications include an associate degree or 5 years of Billing/Insurance Verification experience, and

Qualifications

• Associate degree or 5 years of Billing/Insurance Verification experience.
• Familiarity with ICD10 and CPT codes applicable to services rendered.
• 5 years of relatable or equivalent experience in medical office.

Skills

Billing/Insurance Verification

ICD10/CPT coding

Education

Associate degree

Job description

ProMedica's Wildwood Orthopaedic & Spine Hospital in Ohio is seeking a Pre-Certification Specialist to perform prior authorization and certification for orthopaedic surgeries and injections with payers. You will have a working knowledge of coding for surgeries and injections and maintain familiarity with medical criteria related to prior authorization requirements by third-party payers.

Qualifications include an associate degree or 5 years of Billing/Insurance Verification experience, and