Pre-Certification Coordinator I (Remote) - Neurology
Core
Initiates and facilitates pre-determination processes for medical/surgical and diagnostic services to ensure efficient service delivery and maximize reimbursement through interaction with third-party payers.
Role type
Pre-Certification Coordinator
Builds
Pre-certification documentation and schedules for neurology department procedures
Domain
Healthcare administration / Medical billing
Deliverable
client delivery
Required skills
Insurance verification, Pre-certification process management, Documentation, Schedule coordination, Communication with physicians and payers
Preferred skills
Medical Insurance Coding, Managed Care, External Customer relations
Technologies
Office equipment, Hospital utilization/billing systems
Responsibilities
Contact insurance companies for benefit verification and pre-certification; Supply documentation required during pre-certification; Maintain daily surgery/procedure schedule; Maintain log of pre-certifications in process; Notify hospital billing department of pre-certification status.