MVA WC Pre-Certification Specialist

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 MVA WC 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 10 conveniently 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

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Application Question(s):

• Desired hourly rate

Experience:

• Pre-Certification: 1 year (Preferred)
• Microsoft Excel: 1 year (Preferred)

Work Location: In person

Salary : $48,200 - $61,000