Pre Certification Specialist - Orthopedics

Toledoonsitemid

Posted today · via Workday

About this role

Location: Wildwood Orthopaedic & Spine Hospital Department: Orthopaedics Weekly Hours: 40 Status: Full time Shift: Days (United States of America) Job Summary: When ProMedica patients prepare for orthopaedic surgeries and injections, the Pre-Certification Specialist performs prior authorization and certification for the services with payers. You will have a general understanding of coding for surgeries and injections and keep a working knowledge of medical criteria relating to prior authorization requirements by third-party payers. The above summary is intended to describe the general nature and level of work performed in this role. I t should not be considered exhaustive.…

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What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

We compare your skills against the role requirements.

2

Level fit

This role is mid-level. We check your trajectory against it.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is based in Toledo. We weight your proximity and willingness to relocate.

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