Pre-Certification Coordinator 2
About the role
Revenue Cycle Pre-certification verifies benefits for outpatient, inpatient and ambulatory surgery services, as well as obtaining prior authorization for visits, procedures and hospitalizations, pre-approval, PCP referrals, predeterminations for all electively scheduled admissions, outpatient surgeries and other designated outpatient visits.
Position Summary
The Pre-certification Coordinator is an expert in product, process or service line area (physician appointment scheduling, OR/admission, full service scheduling; pre-registration and registration; insurance verification, and patient liability determination and communication). This position is responsible for providing consumers (clinical staff and patients) with accurate, up-to-date information regarding products, services and general procedures.
Responsibilities
- Schedule return appointments and/or other appointments as assigned
- Assure accurate appointment, demographic and insurance information is gathered to support clinical and financial needs including changes to insurance or other patient information
- Provide support to physicians and consumer by coordinating their requests and satisfying their needs in one transaction
- Solve routine and complex customer problems and know where to direct customers to address specific questions
- Communicate regularly with clinical staff, medical secretaries and staff within the product/service line to ensure customer and department staff needs are met
- Create a positive first impression
- Use a variety of software packages which include the Electronic Medical record, scheduling and registration systems, ABN, eligibility, document management software, and etc
Qualifications
- High School diploma or GED
- Certification or vocational training may be preferred
- 1 year of relevant experience required
- 2-4 years of relevant experience preferred