PIP & Health Insurance Pre-Certification Specialist

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

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.