Pre Certification Coordinator
RemoteUnited States
Job Summary
Facilitate all components related to insurance and benefit analysis prior to service delivery by reviewing patient appointments and admissions, obtaining out-of-pocket financial responsibility details, and securing necessary authorizations and insurance referrals. Coordinate with insurance companies to ensure timely reimbursement and demonstrate understanding of payor requirements, insurance terminology, and medical plans. Perform financial clearance for Mercy payment plans, EPPC, and bad debt resolution while serving as a mentor to fellow Patient Benefit co-workers. Requires strong communication skills, telephone etiquette, and the ability to work under stress. Full benefits including medical, dental, and vision coverage available for team members working 32+ hours per pay period.
Required Qualifications
- Demonstration of understanding of all that level 1 is responsible for
- Experience with insurance terminology
- Experience with medical terminology
- Experience with medical insurance plans
- Ability to complete financial clearance (Mercy payment plan, EPPC, bad debt resolution, etc.)
- Ability to communicate effectively both orally and in writing
- Excellent telephone etiquette
- Ability to establish and maintain effective working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies
- Strong interpersonal skills
- Strong organizational skills
- Attention to detail
- Ability to work under stress
- Ability to meet deadlines
- Ability to perform all daily assignments with consistent accuracy
- Ability to push, pull, and/or lift 50 lbs on a regular basis
- Ability to grip, reach, bend, kneel, twist, and squat to perform duties
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