Remote Surgical Pre-Certification Specialist

Princeton Orthopaedic Associates; United States; Remote; USD 28,000 - 39,000; Full time

Benefits offered by this job

Healthcare coverage

Paid time off

401(k) options

Job summary

Princeton Orthopaedic Associates (POA) is seeking a Pre-Certification Surgery Specialist to join our remote team. You’ll securely obtain pre-certifications and assemble medical records, coordinating with carriers and staff to keep surgical cases on track.

This fully remote role requires 2+ years in surgical pre-certification, orthopedic experience preferred, and meticulous attention to HIPAA compliance. Join POA, part of OrthoNJ, delivering patient-centered care across New Jersey with a flexible

Qualifications

• Minimum of 2 years of surgical pre-certification experience; orthopaedics preferred.
• Experience with health insurance guidelines and pre-service reviews.
• Strong attention to detail and ability to multitask in a fast-paced setting.

Responsibilities

• Secure timely pre-certifications and pre-determinations for upcoming procedures.
• Request and compile clinical records for insurance reviews.
• Collaborate with insurance carriers and clinical staff to maintain smooth operations.
• Navigate EMR systems while maintaining HIPAA standards.

Skills

Surgical pre-certification

HIPAA compliance

Healthcare coordination

EMR proficiency

Tools

EMR software

Job description

Princeton Orthopaedic Associates (POA) is seeking a Pre-Certification Surgery Specialist to join our remote team. You’ll securely obtain pre-certifications and assemble medical records, coordinating with carriers and staff to keep surgical cases on track.

This fully remote role requires 2+ years in surgical pre-certification, orthopedic experience preferred, and meticulous attention to HIPAA compliance. Join POA, part of OrthoNJ, delivering patient-centered care across New Jersey with a flexible