Precertification Representative:

At Princeton Medical Group, P.A. our mission has always been to deliver excellent medical care with compassion. We are a private medical practice with over 35 providers and 9 medical specialties. We are searching for dedicated and motivated employees to join our dynamic and growing team!

We are currently looking to hire a full time Precertification Representative to work in our Infusion Department

Precertification Representative Responsibilities:

• Obtain precertification's for testing/procedures.
• Communicate with nursing staff all necessary information concerning precertification for patients.
• Stay actively abreast of changes in insurance company requirements and guidelines and relay changes as they occur to staff.
• Use manual and computerized systems to obtain precertification's.
• Track appeals for denied requests to insurance companies.
• Complete follow up tasks related to active and pending reviews
• Coordinate peer to peer sessions as needed.
• Establish and maintain logs to ensure historical patient and office activities are available for review by doctors or nursing staff.
• Adhere to strict confidentiality guidelines.

Precertification Representative Requirements:

• Previous precertification experience
• Infusion Billing Experience (Preferred)
• Excellent customer service skills for dealing with both internal and external customers
• Knowledge of insurances and precertification processes
• Knowledge of medical terminology and the ability to interpret medical charts
• 1 year of experience with ICD-10 billing processes (Preferred)

Schedule:

• 8:30 AM - 5:00 PM Monday to Friday with overtime as required

Job Location:

• Princeton, NJ
• Plainsboro, NJ

Benefits:

• Personal medical and dental insurance
• 401k and profit-sharing plan
• Life insurance
• 2 weeks' vacation time
• 40 hours of paid sick leave
• Employee Assistance Program

Proof Of COVID-19 vaccination is required upon hire

Pre-employment drug screen is required

Pre-employment professional reference check is required

PMG is an equal employment opportunities ( EEO ) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.