What are the responsibilities and job description for the MVA/WC Medical Pre-Certification Specialist position at Kayal Orthopedic Center, Joint Venture of RWJ...?
If you’re looking for a rewarding career that contributes to helping people restore their active, pain-free lives, consider joining the Kayal Orthopedic Center team. We currently have an exciting opportunity for Motor Vehicle/Workers Compensation Pre-Certification Specialist based in Glen Rock, NJ. ·
Responsibilities:
Familiarity with Workers Compensation, Motor Vehicle and Personal Injury carriers and their guidelines.
- Contact insurance carriers to verify patients' insurance eligibility benefits and requirements
- Work in collaboration with the medical sites to obtain any additional clinical documentation that can be forwarded to insurance carrier.
- Request, obtain, and track pre-authorizations from Insurance carriers within time allotted for medical services
- Communicate in a timely manner with providers, Insurance companies and all other required personnel to obtain all documentation required for pre-service authorizations.
- Follow up with insurance companies to ensure services are eligible for reimbursement.
- Submit preservice appeals in a timely manner
- Provide direct support to all providers
- Maintain a level of productivity suitable for the department.
- Submit prior authorization to multiple Insurances companies via form, fax, or online
- Attention to detail and timely follow up skills.
- Maintain confidentiality and adhere to HIPAA and other regulations.
- Work effectively in a team environment.
- Strong ability to identify, analyze and solve problems.
- Self-motivated and approach tasks with a positive, proactive demeanor.
- Proactively supports management as well as the objectives and goals of the department
- Excellent verbal and written communication skills
- Knowledge of Excel is preferred
- Knowledge of E-Clinical Works preferred, but not mandatory.
Prior work-related experience required
When you join one of our 18 convenient locations, you become a part of Kayal Orthopedic Center unrivaled record of achievement, education and advancement as we revolutionize healthcare together. We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care.
Kayal Orthopedic Center is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation
To learn more visit kayalortho.com/about/careers
Job Type: Full-time
Pay: $23.00 - $24.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Ability to Commute:
- Glen Rock, NJ (Required)
Ability to Relocate:
- Glen Rock, NJ: Relocate before starting work (Preferred)
Work Location: In person
Salary : $23 - $24