Pre-Certification Coordinator I (Remote) - Surgery

About the role

Position performs varied professional services to ensure medical/surgical and diagnostic/ancillary services are accomplished in an efficient manner and that reimbursement is maximized through required interaction with third-party payers.

Responsibilities

• Initiates and facilitates pre-determination process.
• Contacts appropriate insurance companies for benefit verification and pre-certification of surgical and nonsurgical procedures; notifies financial counselor for pre-payment of un-coded services.
• Supplies all documentation required during pre-certification process to insurance companies.
• Maintains daily surgery/procedure schedule for department faculty; maintains open communication with physicians and their assistants regarding their schedules.
• Maintains written log of all pre-certifications in process; notifies hospital utilization/billing department of pre-certification.
• Documents when pre-certification is received from insurance companies.

Requirements

• High school diploma or equivalent high school certification or combination of education and/or experience.
• Medical Office Setting experience: 2 years.
• No specific certification or professional license required.
• A driver's license is not required for this position.

Qualifications

• Associate degree (preferred)
• No additional certification or professional licenses unless stated elsewhere.
• No additional work experience unless stated elsewhere.

Skills

• Communication
• External Customers
• Insurance
• Internal Customers
• Interpersonal Communication
• Managed Care
• Medical Insurance Coding
• Organizing
• Third Party Payers

Benefits

Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Free Metro transit U-Pass for eligible employees. Defined contribution (403(b)) Retirement Savings Plan with employee and university contributions