Precertification & Pre-Service Appeals Nurse

Job Description

CURE Auto Insurance is a leading direct writer of auto insurance in New Jersey, Pennsylvania, and Michigan. CURE offers a great working environment, competitive salary, and a comprehensive benefits package which includes health and dental coverage, life and disability insurance, 401k with a generous company match, and much more!

CURE is seeking a skilled and motivated Precertification & Pre-Service Appeals Nurse to join our team. In this role, you will be the clinical bridge between provider orders and insurance approval. You will evaluate clinical documentation against medical necessity criteria, secure prior authorizations, and manage the pre-service appeals process. Your clinical expertise will assist with medical management of PIP claims and directly prevent administrative delays to stay in compliance with New Jersey precertification guidelines.

Essential Job Functions:

 Prior Authorization Management: Review treatment plans...