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Insurance Precertification Coordinator (REMOTE in NJ or PA)

Role overview

Qualifications

  • 1 year of Data Entry experience
  • 1 year of Customer Service experience
  • 1 year of Medical administration experience
  • Strong written and verbal communication skills including rules of composition and grammar

Responsibilities

  • Receive requests for medical services from the treating healthcare provider's office.
  • Review requests to ensure all necessary information is received.
  • Enter required data into Medlogix® software for Pre-Certification Nurse review.
  • Respond to telephone inquiries regarding automobile claims.

Key facts

Hard skills

Other skills

  • Customer Service
  • Microsoft Office
  • Typing
  • Organizational Skills
  • Calculators
  • Communication
  • Social Skills
  • Strong Work Ethic
  • Reliability

About the company

Medlogix logo

Medlogix

Insurance

Medlogix’s offerings include a seamless collaboration through its proprietary MyMedlogix™ technology, recommendations from highly qualified medical professionals, and access to a national network of premier health care providers. We offer a comprehensive solution for streamlining insurance claims, backed by more than 35 years of claims management experience and powered by advanced technology. However, what makes us truly different is the standard we set for ourselves regarding our customer service. It begins by coming to work each day and continuing to improve upon everything we do. Whether it’s our process, our technology, an idea that advances the industry, or any aspect of the customer experience, we are committed to making a positive impact, and it is why we can say with confidence, “Expect Exceptional.” Visit https://medlogix.com to learn more.

Company details

Company typeSME
IndustryInsurance
Company size201 - 500

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Job description

  This is a remote position, but you must be in the NJ or PA region to attend meetings in our Hamilton, NJ office. 

Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.

Location: Hamilton NJ
 Hybrid position. Once a month in Hamilton NJ office

The Pre-Certification Coordinator receives requests for medical services from the treating healthcare provider’s office. The request is reviewed to ensure all necessary information is received; required data is entered into Medlogix® software for the Pre-Certification Nurse to review. The Pre-Cert Coordinator will also respond to telephone inquiries regarding automobile claims.

Skills:

  • Detail oriented and strong organizational skills
  • Strong typing skills; 10-key entry a plus
  • Strong written and verbal communication skills including rules of composition and grammar
  • Strong interpersonal skills
  • Ability to work independently handling multiple tasks
  • Demonstrated work ethic and reliability
  • Microsoft Office / Windows Software

Experience

  • 1 year of Data Entry experience
  • 1 year of Customer Service experience
  • 1 year of Medical administration experience

Preferred, not Required Experience

  • Medical Claim Processing
  • Medical Billing
  • 10 Key Calculator
  • Spanish speaking a plus

Education:

  • High school or equivalent

Medlogix is an Equal Opportunity Employer. Medlogix does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability, national origin, veteran status or any other basis covered by appropriate law. We will continue to maintain our commitment to making all employment-related decisions based on the merit of each individual.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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