Orthopedic ONE · Gahanna, Ohio, US

Precertification Specialist

OpenFull-timePay not stated

Open — Orthopedic ONE has a posting for this job. Posted 9 Nov 2026.

This posting

Posted 9 Nov 2026 · Full-time · Pay not stated

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About this job

  • POSITION SUMMARY
    • Responsible for pre-certification of patient appointments and procedures according to Therapy Services protocols. Interactions with patients and insurance companies must be courteous, professional and efficient.
  • RESPONSIBILITIES AND ACCOUNTABILITIES
    • Pre-certification:
      • Timely verification and/or pre-certification for evaluation and treatment as required by insurance provider and documents appropriately. Verify primary and secondary insurance coverage for both in/out of network benefits.
      • Verify insurance eligibility and benefits online or by phone which necessitates long periods of time on telephone with insurance representatives.
      • Verify co-pays, deductibles, co-insurance, covered and non-covered services.
      • Re-verifies existing patient insurance coverage annually or as required.
      • Updates insurance policy information in EMR as required, such as completion of Notification of Benefits form.
      • Verify receipt of all necessary pre-authorization documents prior to treatment.
      • Receives referrals and enters information into EMR including authorization numbers, PCP information, visits allotted and expiration date or any other notes pertaining to insurance plan.
    • Documentation:
      • Document clear and concise benefit information into the EMR system.
      • Coordinates and reviews information with staff so they can review benefits with patients
      • Provide patients with estimated written documentation of covered therapy benefits per the patient’s insurance coverage
    • Business Office/Billing:
      • Collects patient and insurance information required to update EMR and patient record including photocopying or scanning insurance cards.
    • Clerical
      • Scan and file documents into EMR including NOB and insurance verification documents
      • Various clerical duties including copying, faxing, scanning, and filing
      • Other duties assigned in support of clinicians or physicians
  • TEAMWORK
    • Teamwork:
      • Willingly provides coverage, volunteers assistance, and maintains workflows within department as needed without direct instruction/supervision.
      • Works cooperatively and refrains from participating in negative conversations.
      • Shares knowledge and insights with co-workers in a constructive manner.
      • Works to solve problems and address conflicts with appropriate person directly before involving leadership or uninvolved peers.
      • Is considerate of others in the work environment with regard to taking breaks or meal periods, use of computer and phone, noise level in the department, etc.
  • POLICIES AND PROCEDURES
    • Policies and Procedures
      • Knows and complies with policies and procedures as enumerated in the Orthopedic One Employee Handbook and policies and procedures documents.
      • Provides assistance and support to leadership in implementing policies and procedures as necessary.
      • Actively participates in training, and conducting day to day work activity by adhering to all policies and procedures as enumerated in compliance and risk management programs.
  • QUALIFICATIONS
    • Education, Experience, Certification and Licensure Requirements:
      • High School Diploma or equivalent required. Customer service experience and basic computer skills required, preferably in a windows environment with electronic medical records software. Medical terminology or other previous medical office experience desirable. Precertification experience required. Must maintain CPR/AED certification.

Read the full posting

Not this job's pay

What do Healthcare Support & Administrative jobs in Ohio pay?

Talentify has no pay figure for this posting. The lines below are about Healthcare Support & Administrative jobs on Talentify in Ohio as a group, computed by Talentify's job index across their postings. They are not the pay for this job.

Of the 624 Healthcare Support & Administrative jobs on Talentify in Ohio, 153 list pay per hour.

Taking the midpoint of each listed range, the middle half pay 17.00–21.16 USD per hour and the median is 18.38 USD per hour.

142 of these 153 name no currency; they are counted as USD because the jobs are in the United States.

Pay as employers listed it, not adjusted or verified. Updated 2026-11-13.

Computed on 2026-11-13 from the pay in 153 listings.

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