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Salmon P. Chase Center for Civics, Culture, and Society

Pre-Certification Coordinator 2

Posted 12 Days Ago
Be an Early Applicant
In-Office or Remote
Hiring Remotely in Location, WV
Junior
In-Office or Remote
Hiring Remotely in Location, WV
Junior
Verify patient insurance and obtain prior authorizations for outpatient, inpatient, and ambulatory services. Collect accurate demographic and insurance information, schedule appointments, coordinate with clinical staff, resolve customer issues, and use EMR, scheduling/registration, eligibility, ABN, and document management systems to support revenue cycle processes.
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Job Title:Pre-Certification Coordinator 2

Department:Health System Shared Services | Revenue Cycle Clinical Support

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. Schedule return appointments and/or other appointments as assigned.  Assures accurate appointment, demographic and insurance information is gathered to support clinical and financial needs including changes to insurance or other patient information.  Provides support to physicians and consumer by coordinating their requests and satisfying their needs in one transaction. Solves routine and complex customer problems and knows where to direct customers to address specific questions. Communicates regularly with clinical staff, medical secretaries and staff within the product/service line to ensure customer and department staff needs are met. Always creates a positive first impression. Must be able to use a variety of software packages which include the Electronic Medical record, scheduling and registration systems,  ABN, eligibility, document management software, and etc.

MINIMUM REQUIRED 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.

Additional Information:

Location:Remote Location

Position Type:Regular

Scheduled Hours:40

Shift:First Shift

Final candidates are subject to successful completion of a background check.  A drug screen or physical may be required during the post offer process.

Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.

The university is an equal opportunity employer, including veterans and disability. 

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