Pre Certification Coordinator
Core
Facilitate insurance and benefit analysis prior to service delivery, review appointments/admissions, obtain financial responsibility info, secure authorizations, and coordinate with insurance companies for reimbursement.
Role type
Patient Benefit Representative (Insurance Coordination)
Builds
Insurance authorizations and financial clearance for patient services
Domain
Healthcare / Insurance Administration
Deliverable
client delivery
Required skills
Insurance terminology, medical terminology, medical insurance plans, financial clearance, bad debt resolution, insurance management, insurance referral coordination
Preferred skills
Mentoring, effective oral/written communication, telephone etiquette, relationship building with patients/physicians/staff/insurers, stress management, organizational skills, attention to detail
Technologies
Mercy payment plan, EPPC
Responsibilities
Review patient appointments and admissions, obtain out-of-pocket financial responsibility information, secure necessary authorizations, perform insurance management, secure insurance referral requirements, coordinate with insurance companies for timely reimbursement, mentor fellow Patient Benefit co-workers
Seniority
Individual Contributor