Orthopedic Surgery Pre-Certification Specialist

Princeton Orthopaedic Associates; Pennington (NJ); On-site; USD 28,000 - 39,000; Full time

Job summary

Princeton Orthopaedic Associates is seeking a experienced Pre-Certification Surgery Specialist to authorize upcoming surgeries and liaise with hospitals, patients and clinical staff.

The role requires 1–2 years of experience (orthopaedics preferred), strong multitasking and communication, and proficiency with EMR systems. The compensation range is $20.00–$28.00 per hour for full-time, non-exempt employment.

Qualifications

• At least 1-2 years of previous experience is required (orthopaedics preferred).
• Experience with health information, worker’s comp, motor vehicles, and customer service will be beneficial.

Responsibilities

• Obtain pre-certifications and pre-determinations for upcoming surgeries
• Request treatment records, as needed, for use in pre-service insurance reviews
• Maintain ongoing communication for the efficient clinic operations
• Ability to work independently and in a team environment
• Must be organized and able to work in a fast paced, high-volume environment with excellent follow-through
• Ability to multi-task while producing accurate work
• Knowledge of medical terminology and familiarity with HIPAA regulations to ensure patient confidentiality
• Ability to navigate electronic medical record systems efficiently
• Assist with miscellaneous tasks and projects, as needed

Skills

Communication skills

Multitasking

Customer service

Attention to detail

Tools

EMR systems

Job description

Princeton Orthopaedic Associates is seeking a experienced Pre-Certification Surgery Specialist to authorize upcoming surgeries and liaise with hospitals, patients and clinical staff.

The role requires 1–2 years of experience (orthopaedics preferred), strong multitasking and communication, and proficiency with EMR systems. The compensation range is $20.00–$28.00 per hour for full-time, non-exempt employment.