Surgical Pre-Authorization Specialist

Princeton Orthopaedic Associates, P.A.; Pennington (NJ); On-site; USD 2,755,000 - 3,857,000; Full time

Benefits offered by this job

Paid time off

Medical insurance

Dental insurance

Vision insurance

Retirement plan

Job summary

Princeton Orthopaedic Associates is seeking a Pre-Certification Surgery Specialist to authorize upcoming surgeries, liaise with hospitals and clinical staff, and ensure smooth pre-service reviews. A strong sense of urgency, multi-tasking ability, and professional demeanor are essential.

Ideal candidates have 1–2 years of related experience, familiarity with HIPAA and medical terminology, and comfort using electronic medical record systems in a fast-paced orthopaedic setting.

Qualifications

• At least 1–2 years of previous experience is required (orthopaedics preferred).
• Experience with health information, worker’s comp, motor vehicles, and customer service will be beneficial.

Responsibilities

• Obtain pre-certifications and pre-determinations for upcoming surgeries
• Request treatment records, as needed, for use in pre-service insurance reviews
• Maintain ongoing communication for the efficient clinic operations
• Ability to work independently and in a team environment
• Must be organized and able to work in a fast paced, high-volume environment with excellent follow-through
• Ability to multi-task while producing accurate work
• Knowledge of medical terminology and familiarity with HIPAA regulations to ensure patient confidentiality
• Ability to navigate electronic medical record systems efficiently
• Assist with miscellaneous tasks and projects, as needed

Skills

Multi-tasking

Urgency

Technically savvy

Service orientation

Effective communication

Professional demeanor

HIPAA knowledge

Medical terminology

Tools

Electronic Medical Records (EMR)

Job description

Princeton Orthopaedic Associates is seeking a Pre-Certification Surgery Specialist to authorize upcoming surgeries, liaise with hospitals and clinical staff, and ensure smooth pre-service reviews. A strong sense of urgency, multi-tasking ability, and professional demeanor are essential.

Ideal candidates have 1–2 years of related experience, familiarity with HIPAA and medical terminology, and comfort using electronic medical record systems in a fast-paced orthopaedic setting.