Precertification Specialist

Posted 4 Days Ago
Be an Early Applicant
Anchorage, AK, USA
In-Office
18-27 Hourly
Junior
Professional Services
The Role
Verify patient insurance benefits and obtain prior authorizations for procedures. Provide estimates, educate patients on coverage limits, coordinate with billing and clinical teams, respond to authorization and benefit requests, and collect deposits when needed while delivering patient-centered customer service.
Summary Generated by Built In

Precertification Specialist, OPA Lake Otis, Full-time

OrthoAlaska

Salary Range: $17.50-$27.00 hourly

Full-time Benefits:

  • Complimentary orthopedic and primary care at OPA and PCA
  • Medical and dental insurance coverage beginning within 30 days
  • Life insurance
  • Disability insurance
  • 401K
  • Profit sharing
  • Employee Assistance Program
  • Paid time off starting at three weeks per year
  • 7 paid holidays per year
  • Competitive pay and annual compensation reviews

Schedule: Monday-Friday, 08:00am-04:30pm

Your Role at OrthoAlaska:

As a Precertification Specialist at OrthoAlaska you will verify medical insurance benefits with third party payers for procedures and services requiring pre-certification and other related functions.

What You’ll Do:

  • Providing outstanding customer service to all patients.
  • Perform insurance verification and prior authorizations.
  • Verify overall health insurance benefits and prepare estimates.
  • Educate patients on insurance coverage limits and options.
  • Work closely with the billing and other departments providing services.
  • As needed compassionately discuss benefits and collect deposits towards procedures.
  • Respond timely to requests for benefits, authorizations and estimates for patient requests.

Why You’ll Excel in This Role:

  • You thrive in a fast-paced work environment and can handle multiple tasks at once.
  • You are familiar with CPT and ICD-10.
  • You have pleasant phone presentation and keen organizational skills.
  • You have knowledge of primary and secondary coordination of benefits
  • You have knowledge or insurance websites, and government program requirement
  • You work proactively for the good of the team and its commitment to patient centered care

Required Qualifications:

  • One year of customer service, preferably in the medical industry
  • High school diploma or equivalent

Preferred Qualifications:

  • Two (s) years medical office experience
  • Knowledge of insurance and billing processes

At OerthoAlaska, you will enjoy opportunities for professional growth in a collaborative environment and exposure to a full range of orthopedic care with orthopedic, injury walk-in, and rheumatology clinics, an imaging center, athletic training and physical, occupational and massage therapy.

Learn more about OrthoAlaska at www.OPAlaska.com.

FLSA status: Non-exempt

Candidates meeting the above skills and qualifications and desiring to be part of a patient-centered, professional environment are invited to apply.

OrthoAlaska is proud to provide equal employment opportunities to all applicants and employees without regard to race, color, ancestry, national origin, sex, sexual orientation, gender identity, marital status, religion, age, pregnancy, protected veteran status, disability, or other protected categories.

Skills Required

  • One year of customer service experience, preferably in the medical industry
  • High school diploma or equivalent
  • Familiarity with CPT coding
  • Familiarity with ICD-10 coding
  • Pleasant phone presentation and strong organizational skills
  • Knowledge of primary and secondary coordination of benefits
  • Knowledge of insurance websites and government program requirements
  • Two years medical office experience
  • Knowledge of insurance and billing processes
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
251 Employees
Year Founded: 2015

What We Do

OrthoAlaska LLC is an integrated healthcare group in Alaska providing orthopedic, rheumatology, and primary care services. Established to combat rising healthcare costs, the organization combines medical expertise from dozens of physicians and specialists, employing over 250 staff across offices in Anchorage, Eagle River, and Wasilla. Its mission is to provide high-quality, patient-centered orthopedic surgery and musculoskeletal care to the Alaskan community.

Similar Jobs

OpenX Technologies Logo OpenX Technologies

Business Development Director

AdTech • Enterprise Web • Information Technology • Machine Learning • Marketing Tech • Sales
Easy Apply
Remote or Hybrid
US
420 Employees
140K-165K Annually

DFIN Logo DFIN

VP - Manufacturing

Fintech • Software
Remote or Hybrid
United States
1750 Employees

Immersive Logo Immersive

Cyber Resilience Advisor

Enterprise Web • HR Tech • Information Technology • Software • Cybersecurity
Remote or Hybrid
United States
330 Employees
106K-145K Annually

Immersive Logo Immersive

Consultant

Enterprise Web • HR Tech • Information Technology • Software • Cybersecurity
Remote or Hybrid
United States
330 Employees
130K-165K Annually

Similar Companies Hiring

Fora Thumbnail
Agency • On-Demand • Professional Services • Sales • Software • Travel • Hospitality
New York, NY
200 Employees
Energy CX Thumbnail
Greentech • Professional Services • Business Intelligence • Consulting • Energy • Financial Services • Utilities
Chicago, IL
108 Employees
Quantum Rise Thumbnail
Software • Professional Services • Natural Language Processing • Machine Learning • Consulting • Automation • Artificial Intelligence
Chicago, Illinois
20 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account