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Paul Phillips Eye & Surgery Center has two open positions: one Full-Time and one Part-Time.
Ophthalmology Precertification Specialist Paul Phillips Eye & Surgery Center, a leading provider of ophthalmology services in Hunterdon and Somerset counties, is seeking a highly organized and detail-oriented Precertification Specialist to join our team in Flemington, NJ. The Precertification Specialist plays a vital role in ensuring patients receive timely access to care by managing and coordinating the precertification process for medical services and procedures related to ophthalmology. This position serves as a key liaison between healthcare providers, patients, and insurance companies, requiring strong communication skills, a working ثبت knowledge of insurance processes, and the ability to navigate electronic health records (EHR) systems efficiently.
Responsibilities
Obtain prior authorizations from insurance companies for ophthalmology procedures, tests, and services.
Review patient medical records and relevant documentation to support precertification requests.
Act as a liaison between ophthalmologists, patients, and insurance companies to facilitate the precertification process.
Accurately enter and maintain insurance authorizations in the EHR system.
Track and follow up on pending authorization requests, ensuring timely approvals and addressing any issues.
Collaborate with clinical staff, billing departments, and insurance representatives to maintain smooth workflow.
Keep patients informed about pre‑authorization outcomes and provide necessary procedure codes.
Requirements
Strong and confident communication and interpersonal skills to interact effectively with patients, providersoeid and insurance companies.
Excellent organizational skills and attention to detail in managing patient records and documentation; ability to prioritize.
-Benz Excellent follow‑up and follow‑through with a focus on accuracy and meeting important deadlines.
Ability to work independently and as part of a team in a fast‑paced, multi‑specialty ophthalmology practice.
Proficiency in using electronic health record (EHR) systems; NextGen experienceिऱ् is a plus.
Familiarity with Microsoft Outlook and general computer proficiency.
Positive and professional demeanor with a commitment to exceptional patient care, aligning with the values of Paul Phillips Eye & Surgery Center.
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Ophthalmology Precertification Specialist Paul Phillips Eye & Surgery Center, a leading provider of ophthalmology services in Hunterdon and Somerset counties, is seeking a highly organized and detail-oriented Precertification Specialist to join our team in Flemington, NJ. The Precertification Specialist plays a vital role in ensuring patients receive timely access to care by managing and coordinating the precertification process for medical services and procedures related to ophthalmology. This position serves as a key liaison between healthcare providers, patients, and insurance companies, requiring strong communication skills, a working ثبت knowledge of insurance processes, and the ability to navigate electronic health records (EHR) systems efficiently.
Responsibilities
Obtain prior authorizations from insurance companies for ophthalmology procedures, tests, and services.
Review patient medical records and relevant documentation to support precertification requests.
Act as a liaison between ophthalmologists, patients, and insurance companies to facilitate the precertification process.
Accurately enter and maintain insurance authorizations in the EHR system.
Track and follow up on pending authorization requests, ensuring timely approvals and addressing any issues.
Collaborate with clinical staff, billing departments, and insurance representatives to maintain smooth workflow.
Keep patients informed about pre‑authorization outcomes and provide necessary procedure codes.
Requirements
Strong and confident communication and interpersonal skills to interact effectively with patients, providersoeid and insurance companies.
Excellent organizational skills and attention to detail in managing patient records and documentation; ability to prioritize.
-Benz Excellent follow‑up and follow‑through with a focus on accuracy and meeting important deadlines.
Ability to work independently and as part of a team in a fast‑paced, multi‑specialty ophthalmology practice.
Proficiency in using electronic health record (EHR) systems; NextGen experienceिऱ् is a plus.
Familiarity with Microsoft Outlook and general computer proficiency.
Positive and professional demeanor with a commitment to exceptional patient care, aligning with the values of Paul Phillips Eye & Surgery Center.
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