Pre-Certification Specialist

Overview

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 and promote positivity, this position is for you.

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.

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 are 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.

• 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).

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.

If you think you have what it takes to do this job, then the next step is to fill out our online application. The application asks for your resume and to answer some questions to help us get to know you better. If you are selected to move forward in the hiring process, we will require that you provide further details to help us understand your interest.