Precertification & Scheduling Specialist

TOA; Columbia (TN); On-site; USD 38,000 - 56,000; Full time

Benefits offered by this job

Comprehensive benefits package (health

Paid Time Off

Paid Holidays

401k match and profit-sharing

Job summary

Tennessee Orthopaedic Alliance (TOA) seeks a Prec ertification Coordinator to be the friendly face for patients, providers, and carriers. You will verify insurance, obtain pre-certifications, and help schedule procedures across multiple plans.

This role requires knowledge of CPT/ICD-10 coding, EHR experience, and strong organizational skills. TOA offers comprehensive benefits, paid time off, and holidays.

Qualifications

• Understanding CPT and ICD-10 coding.
• Experience with EHR systems such as NextGen.
• Knowledge of coordination of benefits and precertification denial overturns.
• Strong organizational and interpersonal skills.
• Knowledge of medical terminology.

Responsibilities

• Promptly identify errors or issues in precert and test/surgery scheduling.
• Communicate with insurance payer representatives, patients, and staff to ensure timely and accurate surgery scheduling.
• Operate within guidelines and provide backup documentation to carriers.
• Obtain pre-certification/preauthorization from insurance companies prior to test or procedure.
• Manage patient insurance verification via multiple websites, phone, fax, and other methods.
• Timely follow up on all submitted verifications/pre-certifications.
• Notify physicians regarding denials and approvals.

Skills

CPT and ICD-10 coding

EHR experience

Organizational skills

Insurance knowledge

Tools

NextGen EHR

Job description

Tennessee Orthopaedic Alliance (TOA) seeks a Prec ertification Coordinator to be the friendly face for patients, providers, and carriers. You will verify insurance, obtain pre-certifications, and help schedule procedures across multiple plans.

This role requires knowledge of CPT/ICD-10 coding, EHR experience, and strong organizational skills. TOA offers comprehensive benefits, paid time off, and holidays.