Precertification & Scheduling Coordinator - Allergy Center - Physician Practice

About the role

The Precertification and Scheduling Coordinator collaborates with referring physicians practices to obtain clinical information, verifies/intakes patient insurance information, precertification, obtains authorizations from insurance companies, and schedules appointments with patients following the policy, procedure and guidelines of the department.

Responsibilities

• Handles precertification procedures pertaining to patients by collecting insurance information and entering information into SMS.
• Utilizes the Insurance Eligibility Verification system and explains process to patients.
• Verifies insurance benefits/coverage by contacting insurance companies.
• Obtains insurance information for precertification for procedure.
• Schedules patients.
• Requests and retrieves medical records and pathology reports from HUMC, other hospitals, clinics, or physician's offices.
• Enters computer data to ensure integrity of patient history and appointment files.
• Schedules all appointments for patients and provides copy of daily departmental schedule for to patient transport and security.
• Collects co-pays and deductibles and posts same in the finance system following HUMC cash collection/reconciliation procedure.
• Processes all requests for medical records.
• Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
• Adheres to the standards identified in the Medical Center's Organizational Competencies.

Qualifications

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Experience with obtaining health insurance verifications and precertification procedures.
• Proficient in computer skills.
• Knowledge of medical terminology.

Pay

Minimum rate of $24.34 Hourly.