Surgery Precert Specialist

This position is responsible for verifying benefits for all outpatient / inpatient surgery patients as well as in-office procedures.  Additionally, you will be responsible for correctly coding all procedures using current CPT coding guidelines.  Also, responsible for obtaining any prior authorizations needed for in-office or facility procedures as well as entering hospital consultation and surgery charges for billing purposes.  This position is also responsible for contacting patients to make them aware what their benefits are and any financial responsibility that will be due prior to surgery.

Required Skills :

• Prior experience with insurance verification from all insurance carriers - commercial and Medicare.
• Prior experience in obtaining prior authorizations for surgical procedures.
• Medical terminology knowledge is beneficial.
• Must be able to work independently as well as part of a team.
• Ability to organize, prioritize and manage multiple tasks simultaneously.
• Have strong verbal and written communication skills for interacting with patients, insurance companies and healthcare providers.
• Time Management is vital as is the ability to meet deadlines.
• Proficiency in using insurance portals as well as Word, Excel and other carrier sites.

About Tennessee Valley Bone and Joint :

Welcome to Tennessee Valley Bone and JointOur Mission is to Provide Professional Expertise in Orthopedic Care. Our providers and staff are committed to excellence in the treatment of patients with musculoskeletal injuries “Giving you Mobility at home, at work, and at play”Tennessee Valley Bone and Joint is a multifaceted orthopedic practice. Choosing a specialist for your care is very difficult, therefore our physicians and staff are dedicated to making your decision as easy as possible. If you have any questions, always feel free to contact our office and our trained staff will assist you in any way possible.https : / / tnbonejoint.com /