Orthopedics Surgical Pre-Authorization Specialist

Princeton Orthopaedic; Northern (KY); Hybrid; USD 28,000 - 39,000; Full time

Benefits offered by this job

Benefits package

Paid time off

Medical, dental, vision

Job summary

Princeton Orthopaedic Associates (POA) is seeking a qualified Pre-Certification Surgery Specialist to authorize upcoming surgeries. You will build strong relationships with hospitals, patients, and staff, ensuring efficient clinic operations and timely pre-service reviews.

Ideal candidates have 1–2 years of orthopaedic experience and familiarity with health information, workers' comp, and HIPAA. This is a full-time on-site role with a comprehensive benefits package.

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

Multi-tasking

Sense of urgency

Technically savvy

Service-oriented

Effective communication

Professional demeanor

Job description

Princeton Orthopaedic Associates (POA) is seeking a qualified Pre-Certification Surgery Specialist to authorize upcoming surgeries. You will build strong relationships with hospitals, patients, and staff, ensuring efficient clinic operations and timely pre-service reviews.

Ideal candidates have 1–2 years of orthopaedic experience and familiarity with health information, workers' comp, and HIPAA. This is a full-time on-site role with a comprehensive benefits package.