Precertification & Insurance Verification Specialist

Ellis and Badenhausen Orthopaedics; Louisville (KY); On-site; USD 42,000 - 62,000; Full time

Job summary

Ellis & Badenhausen Orthopaedics PSC in Louisville, KY, is seeking candidates for future opportunities as Verification & Precertification Specialists. This role supports financial integrity of patient accounts, communicates with patients about financial obligations, and helps ensure smooth clinic visits and procedures.

The position emphasizes HIPAA compliance, accurate coding for insurance processing, and collaboration with staff to resolve insurance issues and maximize reimbursement.

Qualifications

• Communicate with patients about financial obligations
• Process pre-certification and insurance verifications
• Ensure HIPAA and OSHA compliance in daily tasks

Responsibilities

• Contact insurance companies for pre-certification requirements
• Initiate authorization requests and submit medical records
• Verify patient eligibility and benefits
• Code surgical procedures accurately for insurance processing
• Provide cost estimates to patients and explain coverage

Skills

Insurance verification

Precertification

Communication with patients

HIPAA compliance

Analytical thinking

Job description

Ellis & Badenhausen Orthopaedics PSC in Louisville, KY, is seeking candidates for future opportunities as Verification & Precertification Specialists. This role supports financial integrity of patient accounts, communicates with patients about financial obligations, and helps ensure smooth clinic visits and procedures.

The position emphasizes HIPAA compliance, accurate coding for insurance processing, and collaboration with staff to resolve insurance issues and maximize reimbursement.