Pre-Certification Coordinator

Description We are looking for an experienced Pre-Certification Coordinator to manage the insurance authorization process for epidural injections. You’ll be the dedicated expert on payer guidelines, clinical documentation requirements, and timely procedure clearances.

Requirements

Key Responsibilities:

• Obtain pre-certifications and pre-determinations for upcoming epidural injections.
• Request treatment records for use in pre-service insurance reviews.
• Manage and maintain messages from internal colleagues through Electronic Medical Records (EMR) systems, insurance companies, and patients.

Required Skills/Abilities:

• Excellent interpersonal, verbal and written skills to communicate professionally and effectively with physicians, administrative staff, and patients.
• Flexible, personable, extremely organized and detail-oriented individual who can effectively handle a heavy patient volume.

Experience / Qualifications:

• 1-2 years of previous pre-certification experience is required.
• Proficiency in using Microsoft Office Suite and phone systems.

Compensation & Benefits:

OrthoNJ, LLC is required by New Jersey law to disclose the compensation range for this position. The hiring range for this role is $20.00-$28.00 per hour. Compensation is determined based on several factors, including but not limited to the candidate’s qualifications, relevant experience, and geographic location. Certain roles may also be eligible for additional compensation, such as bonuses or incentive pay, as well as benefits. Eligible full-time employees are offered a comprehensive benefits package, which may include paid time off, medical, dental, vision, and a retirement plan.

About POA:

Princeton Orthopaedic Associates (POA), a division of OrthoNJ, is a Community of Extraordinary Care professionals serving Central New Jersey since 1974. With 30 physicians, including 20 Orthopaedic surgeons, across 7 office locations, urgent care centers, and surgical center, POA operates as an outcome-focused orthopaedic practice that combines extraordinary talent, advanced techniques, and cutting-edge tools with compassionate service. As part of New Jersey's largest independent orthopaedic group practice, POA physicians work collaboratively to provide personalized, patient-centered care while maintaining the values and autonomy of the private practice model.

Princeton Orthopaedic Associates is built on a foundation of compassion, patient focus, quality, collaboration, honesty, and excellence. We are a community where every team member - regardless of role - is expected to embody these values in their daily work, hold themselves and colleagues accountable to high standards, and speak up when behavior falls short of our expectations. We foster a culture of continuous improvement where feedback is welcomed, mistakes become learning opportunities, and successes are celebrated together. As a member of our team, you'll be expected to contribute ideas, mentor new colleagues, and actively participate in creating an environment where both patients and staff thrive.

EEO Disclosure:

POA is an equal opportunity employer.

POA, as a member organization of OrthoNJ, is strongly committed to creating and preserving equal opportunity for all employees and applicants. We make all employment decisions – including recruitment, hiring, compensation, training, promotion, transfer, discipline, dismissal from employment, and other personnel matters – without regard to actual or perceived race, color, ancestry, religion, sex, national origin, age, disability, protected veteran status, marital status, sexual orientation, genetic information, citizenship, gender identity and expression, parental status, or other legally protected characteristics or conduct.