Pre-Certification Specialist

Description Insurance companies are contacted to obtain insurance verification and pre-certification for all surgeries, EMG/NCS, Visco-supplemental injections and DME. Enters benefit information and pre-certification authorization into guarantor notes in ECW and routes the order to billing department. Maintains a working knowledge of Medicare, commercial insurance plans, etc. Schedules and reviews patients estimated co-pay, co-insurance or deductibles for Visco-supplemental injections once approved. Answers phones and provides routing information to callers.Requirements1 year of precertification experience required.