Pre-Certification Coordinator

Join Our Team at Peachtree Orthopedics and Help Others "Get Better"

At Peachtree Orthopedics, we're on a mission to make a difference in healthcare, and we're looking for dedicated individuals to join our team. With nine convenient offices across Greater Atlanta, we're committed to providing top-notch care and your skills and passion can make a real impact. We're not the largest practice in Atlanta, but we take pride in delivering dedicated and compassionate care to everyone who walks through our doors. If you're ready to be part of a team that values your contribution and offers room for growth, consider joining us in our mission to help others "Get Better."

Our Culture

Peachtree Orthopedics has a rich history of 70 years in business and has earned recognition as a Top Workplace by the Atlanta Journal Constitution for five consecutive years. We take pride in our family-oriented, dedicated, passionate, and hardworking culture. When you join our team, you become a part of a community that values excellence in healthcare while working in a supportive and nurturing environment.

Why Choose Peachtree Orthopedics?

At Peachtree Orthopedics, we offer more than a job; we offer an opportunity to be part of something extraordinary:

• Limitless Growth: Propel your career with abundant professional development opportunities within our dynamic organization.
• Empathetic Culture: Immerse yourself in a supportive, lively work culture that values your well-being and celebrates your contributions.
• Dedication to Excellence: Join a team of like-minded individuals who share your commitment to delivering top-notch care to our cherished patients.

Location: Atlanta

Work Schedule: Monday – Friday; 8:00am – 5:00pm

Job Type: Full time

Your Impactful Role

Responsible for a variety of medical office/clerical tasks relating to claims processing; contact patients and responsible parties to resolve past-due accounts; investigates account status and initiates collection procedures.

• Verify precertification within 48 hours of receiving notice.
• Inform the clinical teams of precertification status as soon as it is submitted.
• Analyze relative insurance information and determine actions necessary to obtain appropriate payment authorization for service provided.
• Obtain treatment authorization and verification of benefits for all applicable medical consultation and elective services
• Ensure that all information required by billing entities is properly recorded on all documents and is processed in accordance with protocols.
• Handle a volume workload expeditiously, efficiently, and accurately.
• Collect information concerning eligibility, provider status, benefits coverage, coordination of benefits, and subrogation.
• Other duties may be assigned.

Education and Experience

• High school diploma or general education degree (GED).
• Minimum 3 years in a medical office setting.
• Prior experience using electronic scheduling and electronic medical software is a plus
• Knowledge of ICD-10, CPT, HCPCS, and the use of modifiers preferred.
• Knowledge of physician billing and/or collections.
• Typing speed 55 wpm and the ability to use a calculator.

Physical Demands and Work Environment: The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to handle or feel; reach with hands and arms; and to talk or hear. The employee is occasionally required to stand, walk; and stoop, kneel, crouch, or crawl. These duties could require the ability to lift files, open file cabinets, and bend or stand as necessary. The employee must occasionally lift and/or move up to 30 pounds. The employee will operate a keyboard, calculator, telephone, copy machine, computer, and other office equipment as necessary. Specific vision abilities required by this job include close vision. It is necessary to view and type on computer screens for long periods of time and to work in an environment that can be very stressful. The noise level in the work environment is usually moderate. Must be able to deal with aggressive, hostile, and sometimes irrational behavior of patients and family members and can respond to all patients in a calm and professional manner.

Peachtree Orthopedics is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.