Remote Surgical Pre-Certification Specialist

Optim Orthopedics; Savannah (GA); Hybrid; USD 38,000 - 48,000; Full time

Job summary

Optim Orthopedics in Savannah, GA is seeking a Pre-certification Specialist (Surgery) for a full-time remote position. The role focuses on pre-certing surgeries, coordinating with insurance providers, and ensuring ICD-9/CPT coding accuracy.

Ideal candidates have a High School Diploma or GED, completed Medical Terminology training, and at least one year in a medical office, with strong computer skills and a commitment to confidentiality.

Qualifications

• High School Diploma or GED required.
• Successful completion of a course in Medical Terminology.
• Minimum of one year experience in a Medical Office.
• Computer experience required.

Responsibilities

• Reviews patients’ medical records.
• Works with medical staff coordinating medical information and patient charts.
• Pre-certing all surgeries with the appropriate insurance company as required by ICD-9 code.
• Follows up with insurance companies to ensure coverage is in effect.
• Documents actions and maintains permanent records in patients’ charts.
• Answers patient questions regarding precert status of surgeries.
• Maintains confidentiality of sensitive information.

Skills

Medical terminology

Insurance industry knowledge

Typing / keyboarding

Confidentiality

Communication

Education

High School Diploma or GED

Medical Terminology course

Tools

Computer experience

Job description

Optim Orthopedics in Savannah, GA is seeking a Pre-certification Specialist (Surgery) for a full-time remote position. The role focuses on pre-certing surgeries, coordinating with insurance providers, and ensuring ICD-9/CPT coding accuracy.

Ideal candidates have a High School Diploma or GED, completed Medical Terminology training, and at least one year in a medical office, with strong computer skills and a commitment to confidentiality.