Columbia Orthopaedic Group

Come work for us!

Columbia Orthopaedic Group is looking for a detail-oriented Precertification Specialist to join our team. This role will obtain authorizations for procedural orders with all insurance payers, as well as checking benefits and collecting payments for upcoming appointments. The ideal candidate has strong communication skills, a solid understanding of insurance policies, and the ability to navigate complex preauthorization processes efficiently.

Key Responsibilities:

• Submit and track precertification and prior authorization requests with insurance providers.
• Verify patient insurance benefits and coverage requirements.
• Communicate with healthcare providers, insurance companies, and patients regarding authorization statuses.
• Follow up on pending authorizations and resolve denials or appeals as needed.
• Maintain accurate documentation and records of authorization approvals and denials.
• Work collaboratively with medical staff and billing teams to ensure seamless, first class patient care.

Qualifications:

• Associate’s or bachelor’s degree in a healthcare related field preferred.
• Minimum 2 years of experience in pre-certification, medical billing, or insurance verification.
• Knowledge of medical terminology, CPT/ICD-10 coding, and insurance guidelines.
• Strong organizational, problem-solving, and time-management skills.
• Excellent verbal and written communication abilities.

 Benefits:

• Health, Dental and Vision insurance
• Employer-sponsored disability and life insurance
• Paid Time Off (PTO)
• 401k with a company match

 Apply today to start your journey with an amazing company!