Pre-Certification Coordinator I (Remote) - Surgery

Position Summary

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

Job Description

Primary Duties & 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.

Working Conditions:

Job Location/Working Conditions
Normal working environment.
Patient care setting.

Physical Effort
Typically sitting at desk or table.
Repetitive wrist, hand or finger movement.

Equipment
Office equipment.