Precertification Specialist

Orthopedic Physicians Alaska; Anchorage (AK); On-site; USD 24,108 - 37,195; Full time

Benefits offered by this job

Complimentary orthopedic and primary care

Medical and dental insurance

401(k)

Paid time off starting at three weeks per year

Job summary

A healthcare provider in Anchorage seeks a Precertification Specialist. This full-time role focuses on verifying medical insurance benefits and providing customer service to patients. Candidates should have experience in customer service, preferably in the medical sector, and knowledge of insurance and billing processes. This position offers a competitive salary and benefits, including health insurance and paid time off.

Qualifications

• One year of customer service, preferably in the medical field.
• Two years of medical office experience is preferred.
• Knowledge of insurance and billing processes.

Responsibilities

• Provide outstanding customer service to patients.
• Perform insurance verification and prior authorizations.
• Educate patients on insurance coverage limits.

Skills

Customer service

CPT and ICD-10 knowledge

Organizational skills

Knowledge of insurance websites

Education

High school diploma or equivalent

Tools

NextGen

Job description

Precertification Specialist – OPA Lake Otis – Anchorage (Full Time)

Schedule: Monday – Friday, 8:00am – 4:30pm

Salary: $17.50–$27.00 hourly

Benefits

• Complimentary orthopedic and primary care at OPA and PCA
• Medical and dental insurance coverage beginning within 30 days
• Life insurance
• Disability insurance
• 401(k)
• Profit sharing
• Employee Assistance Program
• Paid time off starting at three weeks per year
• 7 paid holidays per year
• Competitive pay and annual compensation reviews

Your Role At OPA

Learn more about Orthopedic Physicians Alaska at www.OPAlaska.com.

As a Precertification Specialist at OPA you will verify medical insurance benefits with third party payers for procedures and services requiring pre‑certification and other related functions.

What You’ll Do

• Providing outstanding customer service to all patients.
• Perform insurance verification and prior authorizations.
• Verify overall health insurance benefits and prepare estimates.
• Educate patients on insurance coverage limits and options.
• Work closely with the billing and other departments providing services.
• As needed compassionately discuss benefits and collect deposits toward procedures.
• Respond timely to requests for benefits, authorizations and estimates for patient requests.

Why You’ll Excel In This Role

• You thrive in a fast‑paced work environment and can handle multiple tasks at once.
• You are familiar with CPT and ICD‑10.
• You have pleasant phone presentation and keen organizational skills.
• You have knowledge of primary and secondary coordination of benefits.
• You have knowledge of insurance websites and government program requirements.
• You work proactively for the good of the team and its commitment to patient‑centered care.

Required Qualifications

• One year of customer service, preferably in the medical industry.
• High school diploma or equivalent.

Preferred Qualifications

• Two years medical office experience.
• Knowledge of insurance and billing processes.
• Experience with NextGen.
• Knowledge of imaging pre‑certification.

At OPA, you will enjoy opportunities for professional growth in a collaborative environment and exposure to a full range of orthopedic care with orthopedic, injury walk‑in, and rheumatology clinics, an imaging center, athletic training and physical, occupational and massage therapy.

FLSA status: Non‑exempt

Candidates meeting the above skills and qualifications and desiring to be part of a patient‑centered, professional environment are invited to apply.

Core Competencies

• Synergy: Through collaboration & continuous improvement
• Empathy: Through compassion & patient‑centered care
• Integrity: Through trust & ethical accountability
• Optimization: Through operational efficiency

The mission of OrthoAlaska, Orthopedic Physicians Alaska division is to provide the finest orthopedic surgery and musculoskeletal care in North America through quality, patient‑centered care. Each of our physicians and surgeons works in concert with a certified orthopedic surgical physician assistant and other staff to provide patients an individualized care‑team experience. Currently, we have offices in Anchorage, Wasilla, and Eagle River.

OPA values quality, patient‑centered care, personal fulfillment through continuous improvement, team development, and community service. We welcome applicants who embrace our core values and possess a daily renewed attitude of excellence.

OPA benefits include health and dental insurance, life and disability insurance, 401(k) and profit sharing, as well as paid time off.

OrthoAlaska is proud to provide equal employment opportunities to all applicants and employees without regard to race, color, ancestry, national origin, sex, sexual orientation, gender identity, marital status, religion, age, pregnancy, protected veteran status, disability, or other protected categories.