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Precert Specialist

Michiana Gastroenterology, Inc
South Bend, IN Full Time
POSTED ON 12/10/2024 CLOSED ON 1/19/2025

What are the responsibilities and job description for the Precert Specialist position at Michiana Gastroenterology, Inc?

Job Summary
We have a need for a team player to join our team in the Precertification Department for a very busy medical practice. The primary job responsibility is to obtain authorizations and referrals for upcoming procedures ordered by our providers. We also check benefits and eligibility. This is a very detailed job and our ideal person would have at least 1 year experience working with insurance companies. They would also need to be able to multi task and work as a team as well as individually in a busy, fast paced environment. Good communications skills is a must.. This position requires a strong understanding of medical terminology, insurance verification, and HIPAA regulations.

Responsibilities

  • Manage and maintain accurate medical records in compliance with HIPAA regulations.
  • Perform coding for various procedures using ICD-9 and other relevant coding systems.
  • Verify insurance information and assist patients with managed care inquiries.
  • Collaborate with healthcare providers to ensure accurate documentation and billing processes.
  • Provide support in office operations, including administrative tasks as needed.
  • Stay updated on changes in medical coding practices and insurance policies.

Experience

  • Previous experience in a medical office is highly preferred.
  • Proficiency in medical terminology and understanding of insurance verification processes.
  • Familiarity with coding systems such as ICD-9 is essential.
  • Knowledge of HIPAA regulations and managed care practices is a plus.
  • Strong organizational skills and attention to detail are necessary for success in this role.

Join us as we strive to provide exceptional service while ensuring the highest standards of patient care and compliance within our practice!

Job Type: Full-time

Pay: $17.00 - $17.50 per hour

Expected hours: 40 per week

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Experience:

  • ICD-9: 1 year (Required)
  • Insurance verification: 1 year (Required)
  • Medical terminology: 1 year (Required)

Ability to Relocate:

  • South Bend, IN 46635: Relocate before starting work (Required)

Work Location: In person

Salary : $17 - $18

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