Precertification Coordinator

About the role

Congratulations! You've landed a position coordinating with physician offices and insurance companies to obtain necessary authorizations for hospital admissions. This role involves managing insurance authorizations, documenting insurance coverage, notifying case management, and monitoring denials.

Responsibilities

• Coordinate with physician offices and insurance companies to obtain authorization for all hospital admissions.
• Obtain authorization on for admissions as required by health plans.
• Enter patient insurance authorizations and any pertinent information from insurance company into the patient account history.
• Document insurance coverage of services to be provided.
• Notify case management about interactions with insurance companies regarding services.
• Manage denials or potential denials as described by insurer.
• Maintain accurate records and ensure that authorization and initial length of stay are obtained and on file.

Requirements

• A high school diploma equivalency or 1 year of applicable cumulative job-specific experience is required.
• Professional licensure/certification can be used in lieu of education or experience, if applicable.

Qualifications

• Prior medical experience is preferred.
• Prior precertification experience is preferred.

Skills

• Strong organizational skills.
• Excellent communication skills.
• Knowledge of healthcare regulations and policies.

Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options.
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance.
• Time to recharge: pro-rated paid time off (PTO) and holidays.
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning.
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources.
• Family support: parental leave, adoption assistance and family benefits.
• Optional benefits: legal and pet insurance, transportation savings and more.

Pay

The pay range for this role is $XX.XX - $XXX.XX per hour, depending on experience and qualifications.

Schedule

This role is full-time, Monday through Friday, from 8:00 AM to 5:00 PM.

Life at Ascension

At Ascension, we believe that our associates are the heart of our mission. We offer a comprehensive benefits package, including health coverage, financial security, career growth opportunities, and emotional and family support. Join us and discover how your contributions truly matter.