Pre-certification Coordinator 1
Company: Ohio State University Wexner Medical Center
Location: Columbus
Posted on: May 3, 2024
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Job Description:
Scope of Position The Ohio State University Health System is
committed to improving access and service to customer. The
Pre-Certification position functions as an integral member of the
health care team to reflect a culture of cooperation, enthusiasm,
and mutual respect. This position ensures the coordination of the
insurance verification and precertification process for all
outpatient procedures, inpatient admissions, and other designated
services for patients to The Ohio State University Health
System.Position Summary The Pre-Certification coordinator
responsibilities include understanding and verifying benefits for
Outpatient, Inpatient and Ambulatory Surgery Services as well as
obtaining prior authorizations. In addition, the analyst will at
times contact patients/families to ascertain additional demographic
and insurance information essential to the authorization processes
while also informing patients of co-pays that will be due.Minimum
Qualifications For Hire: Required: High School Diploma or GED. PC
Knowledge and interpersonal, verbal, and written communication.
Minimum 6 months experience in customer service or a healthcare
environment.Preferred: Associate degree and at least 1 year
experience in a Patient Revenue role at OSUWMC. Experience with
medical terminology and payer requirements preferred. Experience
with Windows, Excel, and intranet/internet navigation tools as well
as system content. Demonstrated ability to work in multiple
databases and software applications; experience using automated
databases for management and reporting. Ability to work in
self-directed manner while interacting with consumers, physicians
and all medical center faculty and staff. Ability to communicate
clearly with health care team.
Keywords: Ohio State University Wexner Medical Center, Newark , Pre-certification Coordinator 1, Other , Columbus, Ohio
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