Talent.com
Pre-Certification Specialist

Pre-Certification Specialist

Bone and Joint Center, S.C.Wausau, WI, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

We are looking to add someone to our team who can work in a fast-paced environment with great customer service, has great attention to detail, and can quickly adapt to change throughout the day. If you have medical insurance and prior authorization experience who promotes positivity, this position is for you. ABOUT BONE & JOINT Bone and Joint has one of the most comprehensive teams of orthopedic, pain management, podiatric, physical and occupational therapy experts in Northcentral Wisconsin. We aren't a division of another corporate healthcare organization; Bone & Joint belongs to us and we have numerous locations throughout Central Wisconsin. Our mission is to be the Best place for patients to receive care, the Best place for employees to work, and the Best place for physicians to practice medicine. A DAY IN THE LIFE OF A PRE-CERTIFICATION SPECIALIST Being a part of the Pre- Certification / Verification of Benefits Team you will complete a variety of tasks each day in a very fast-paced environment. Our Pre-Certification Specialists work with several different departments throughout Bone & Joint. You will work and communicate daily with our Providers, their clinical teams, Ambulatory Surgery Center teams, Registration, coding & billing team, Therapy teams along with outside companies such as Insurance carriers, and other outside hospital systems. Primarily you will be completing insurance prior authorizations via online or over the phone for procedures, surgery, High end imaging, DME, etc. that our ordered by our providers. We also complete verification of benefits for all patients to ensure they have active coverage and a plan that Bone & Joint accepts at our clinics and Walk-in locations. QUALIFICATIONS FOR A PRE-CERTIFICATION SPECIALIST

  • High school diploma or equivalent
  • Patience and ability to work with people at all levels, internal and external, required.
  • Must have great attention to detail.
  • 1 plus years' experience with online and telephone prior authorizations for services.
  • Experience and knowledge of all types of insurances (government, commercial, programs, private).

WORK SCHEDULE Workdays of a Pre-Certification Specialist are Monday through Friday 8 : 30AM to 5 : 00PM with a 30-minute lunch. Additional flexibility may be offered after the training period and based on business needs. READY TO JOIN OUR TEAM? If you think you have what it takes to do this job, then the next step is to fill out our online application. Don't worry, the application is pretty simple as it asks for your resume and to answer some questions to help us get to know you better. We should warn you though, if you are selected to move forward in the hiring process, we will require that you provide us with further details to help us further understand your interest.

Job Posted by ApplicantPro

Create a job alert for this search

Specialist • Wausau, WI, US

Related jobs
  • Promoted
  • New!
Phlebotomist - Day 1 Benefits

Phlebotomist - Day 1 Benefits

Biolife Plasma Services CareersStevens Point, WI, US
Part-time
By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in lin...Show moreLast updated: 19 hours ago
  • Promoted
Patient Account Representative

Patient Account Representative

GastroIntestinal Associates, SCWausau, WI, US
Full-time
Patient Account Representative.We are seeking a detail-oriented Patient Account Representative to join our team! In this role, you will be responsible for ensuring the accurate and efficient proces...Show moreLast updated: 30+ days ago
  • Promoted
Medical Assistant - Regional (SP)

Medical Assistant - Regional (SP)

GastroIntestinal Associates, SCStevens Point, WI, US
Full-time
Medical Assistant - Regional (SP) At GastroIntestinal Associates, SC.Business Park Drive, Stevens Point, WI, USA.Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Health Screener

Health Screener

Biolife Plasma Services CareersWausau, WI, US
Full-time +3
By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that.I provide in my application will be processed in line with.I further...Show moreLast updated: 19 hours ago
  • Promoted
Patient Access Specialist

Patient Access Specialist

MarshfieldclinichealthsystemsWausau, WI, US
Full-time
Come Work At A Place Where Innovation And Teamwork Come Together To Support The Most Exciting Missions In The World!.Mon-Fri. day shifts (United States of America).The Patient Access Specialist ser...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Health Risk Assessments - Nurse Practitioner (NP) and Physician Assistants (PA)

Health Risk Assessments - Nurse Practitioner (NP) and Physician Assistants (PA)

National RecruitersMerrill, WI, United States
Full-time
Flexible PRN Opportunity for Nurse Practitioners & Physician Assistants - Health Risk Assessments.We're looking for Nurse Practitioners (NPs) and Physician Assistants (PAs) interested in a flexible...Show moreLast updated: 15 hours ago
  • Promoted
  • New!
Entry Level Phlebotomist - On the Job Training!

Entry Level Phlebotomist - On the Job Training!

Biolife Plasma Services CareersStevens Point, WI, US
Part-time
By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that.I provide in my application will be processed in line with.I further...Show moreLast updated: 19 hours ago
  • Promoted
  • New!
Billing & Enrollment Rep

Billing & Enrollment Rep

USA JobsStevens Point, WI, US
Full-time
Billing & Enrollment Representative Opportunities.We're hiring detail-oriented Billing & Enrollment Representatives for a well-respected business in Stevens Point. If you're looking for a great temp...Show moreLast updated: 16 hours ago
  • Promoted
Environmental Claims Specialist

Environmental Claims Specialist

Sentry Insurance GroupStevens Point, WI, US
Full-time
Environmental Claims Specialist.This role involves managing latent construction defect claims, as well as a mix of latent bodily injury, employers liability and declaratory relief claims, often in ...Show moreLast updated: 30+ days ago
  • Promoted
Dental Assistant

Dental Assistant

Cherry Tree DentalStevens Point, WI, US
Full-time
Point Place Dental, a Cherry Tree Dental Office | Stevens Point, WI.Are you a friendly, motivated Dental Assistant looking for a fulfilling role in a supportive, patient-focused Office? Point Place...Show moreLast updated: 30+ days ago
  • Promoted
Medical Assistant

Medical Assistant

My Derm RecruiterStevens Point, WI, US
Full-time
Come join our team! We have an immediate need for a Medical Assistant in our Stevens Point, WI clinic! If you are ready to make an impact every day, and thrive in a fast-paced environment, then a c...Show moreLast updated: 30+ days ago
  • Promoted
Member Services Representative

Member Services Representative

Crunch FitnessWittenberg, WI, US
Full-time
Member Service Representative | Fit Fusion.The Member Services Representative contributes to building a fiercely fun fitness environment for team members while delivering excellent customer service...Show moreLast updated: 30+ days ago
  • Promoted
Central Scheduler - Acute Care Services

Central Scheduler - Acute Care Services

North Central Health CareWausau, WI, US
Full-time +1
The Central Scheduler (ACS) Opportunity : .The Central Scheduler (Acute Care Services) is responsible for creating, maintaining, and adjusting daily and long-range staffing schedules for 24-hour oper...Show moreLast updated: 6 days ago
  • Promoted
Medical Receptionist - Stevens Point

Medical Receptionist - Stevens Point

GastroIntestinal Associates, SCStevens Point, WI, US
Full-time
Medical Receptionist - Stevens Point.We are seeking a full-time Medical Receptionist to join our team at GI Associates.This on-site position is pivotal in creating a positive atmosphere for our pat...Show moreLast updated: 30+ days ago
  • Promoted
Medical Assistant - Paid Training

Medical Assistant - Paid Training

Biolife Plasma Services CareersMarathon, WI, United States
Part-time
By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Tak...Show moreLast updated: 2 days ago
  • Promoted
Clinic Assistant

Clinic Assistant

Rogers Behavioral HealthWausau, WI, US
Full-time
The Clinic Assistant performs receptionist and billing responsibilities related to clinic operations; coordinates patient information, maintains confidentiality of patient files, and coordinates bi...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Medical Screener, Phlebotomist - Benefits on Day 1

Medical Screener, Phlebotomist - Benefits on Day 1

Biolife Plasma Services CareersMarathon, WI, United States
Part-time
By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Tak...Show moreLast updated: 7 hours ago
  • Promoted
Customer Service Representative - Patient Registration

Customer Service Representative - Patient Registration

R1 RCMStevens Point, WI, US
Part-time
Customer Service Representative.Location : Ascension All Saints Hospital Spring Street.Shift Hours : PRN, Part-time, Flexible shift, 48 hours a month including 24 hours on call, including weekends an...Show moreLast updated: 30+ days ago