Precertification & Insurance Verification Specialist

Orthopedic One; Gahanna (OH); On-site; USD 35,000 - 42,000; Full time

Job summary

Orthopedic One is seeking an Administration/Health Information staff member in Westerville, OH, to handle pre-certification, insurance verification, and EMR documentation for therapy services.

The role requires a high school diploma, customer service experience, basic computer skills, and precertification experience, with CPR/AED certification preferred. Strong communication and attention to detail are essential for accurate benefit information for patients and providers.

Qualifications

• High School Diploma or equivalent required.
• Customer service experience and basic computer skills required, preferably in a Windows environment with electronic medical records software.
• Medical terminology or other previous medical office experience desirable.
• Precertification experience required.
• Must maintain CPR/AED certification.

Responsibilities

• Pre-certification: Timely verification and/or pre-certification for evaluation and treatment as required by insurance provider and documents appropriately.
• Verify insurance coverage and benefits; verify eligibility and benefits online or by phone; document necessary pre-authorization details in EMR.
• Documentation: Record benefit information into the EMR and coordinate with staff to review benefits with patients; provide written estimates of covered therapy benefits.

Skills

Customer service

Basic computer skills

EMR experience

CPR/AED certification

Education

High School Diploma or equivalent

Job description

Orthopedic One is seeking an Administration/Health Information staff member in Westerville, OH, to handle pre-certification, insurance verification, and EMR documentation for therapy services.

The role requires a high school diploma, customer service experience, basic computer skills, and precertification experience, with CPR/AED certification preferred. Strong communication and attention to detail are essential for accurate benefit information for patients and providers.