What are the responsibilities and job description for the Precertification Specialist/Registration Floater position at HH Health System- The Orthopaedic Center?
We are looking for a Precertification Specialist who can handle a fast-paced environment and support our Orthotic and Prosthetic department. In this role, you will manage pre-certs, assist with front desk duties, and ensure smooth patient interactions. The ideal candidate will have previous medical insurance experience and will possess excellent organizational skills.
Key Responsibilities:
- Contact insurance companies to verify benefits and authorization requirements for orthotic and prosthetic devices.
- Communicate benefit information to clinicians and ensure they are up to date on patient coverage.
- Assist with phone calls and messages, as well as notify patients of their insurance coverage for prescribed items.
- Schedule patient appointments, collect deposits, verify insurance, and assist with check-in and check-out duties.
- Review and prepare patient charts, ensuring all required documentation is present prior to delivery of products.
- Assist with the coordination of patient care, ensuring timely scheduling and appropriate follow-ups.
- Communicate effectively with patients, TOC physicians, and staff regarding all aspects of patient care.
- Ensure that inventory levels are verified before patient appointments.
Qualifications:
- High School Diploma or GED required.
- Previous experience in medical insurance, with a preference for prior experience in precertification and/or orthotics and prosthetics.
- Knowledge of SMX or similar EMR software preferred.
- Strong communication skills, both verbal and written.
- Ability to handle multiple tasks, manage time efficiently, and work under pressure.
- Outstanding organizational skills and attention to detail.
- A team player with a positive attitude and the ability to work independently.
- Strong initiative and self-discipline.
Preferred Experience:
- Previous insurance precertification experience.
- Knowledge of Orthotics and Prosthetics.