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Surgical Pre-Certification Coordinator - Danbury

Company: Advanced Specialty Care
Location: Danbury
Posted on: April 10, 2021

Job Description:

Surgical Pre-Certification Coordinator - Danbury Surgical Pre-Certification Coordinator - Danbury Job Summary We are seeking an experienced individual who is looking to join a busy medical practice. The individual is responsible for the prior authorization of out-patient surgical benefits and scheduling surgeries. This position is 30 hours per week in our Danbury office. Primary Responsibilities:

  • Pre-certification and verification of surgical benefits--
  • Contact payers via phone and the internet to verify eligibility and applicable benefits including: effective dates of coverage, limitations and exclusions, co-pays, deductibles and/or co-insurance.
  • Provide clinical information, letters of medical necessity & photographs to insurance companies for procedures requiring medical review.--
  • Back up Surgical Scheduler
  • Must have open communication with colleagues and keep the team aware of issues and concerns that impact the pre-cert process.
  • Complete other related duties as required and assigned SKILLS:
    • Good interpersonal skills
    • Positive outlook and upbeat personality
    • Excellent oral and written communication skills
    • Must possess superior organizational skills
    • Must be detailed oriented, meticulous
    • Must be able to multi-task
    • Must be able to work independently and as part of a team Must be able to work within deadlines QUALIFICATIONS:
      • Experience with CPT and ICD-10 codes
      • --Knowledge of medical terminology
      • Well versed in: HMO, PPO, Managed Care, Third-party administrator plans and workers comp
      • Ability to distinguish the difference between deductibles, co-insurance and co-pays
      • Use of computers and software programs REQUIREMENTS
        • Electronic Health Record experience
        • High school diploma or equivalent SCHEDULE
          • Monday through Friday (30 hours per week)
            • 10:30 am - 4:30 pm SALARY AND BENEFITS
              • Salary commensurate with experience Job Type: Full-time We offer a competitive salary with a robust comprehensive benefits package including:
                • Medical and Dental benefits
                • PTO
                • Holiday Pay
                • Profit Sharing A resume MUST be submitted for consideration. Resumes which match our criteria will be contacted. 131 Kent Road
                  Second Floor
                  New Milford, CT 06776

Keywords: Advanced Specialty Care, Danbury , Surgical Pre-Certification Coordinator - Danbury, Healthcare , Danbury, Connecticut

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