Pre-Certification Coordinator I (Remote) - Radiology
Core
Initiates and facilitates pre-determination processes for surgical and nonsurgical procedures by contacting insurance companies for benefit verification and pre-certification.
Role type
Pre-Certification Coordinator
Builds
Insurance authorizations and pre-determinations for medical/surgical and diagnostic services
Domain
Healthcare administration / Medical billing
Deliverable
client delivery
Required skills
Insurance verification, Pre-certification processes, Documentation management, Schedule coordination, Log maintenance, Communication with physicians and financial counselors
Preferred skills
Medical Insurance Coding, HMOs, Managed Care, Third Party Payers, Authorization appeals
Technologies
Office equipment
Responsibilities
Initiates and facilitates pre-determination process; Contacts insurance companies for benefit verification and pre-certification; Supplies documentation required during pre-certification process; Maintains daily surgery/procedure schedule for department faculty; Maintains written log of all pre-certifications in process; Documents receipt of pre-certification from insurance companies