Ortho Scheduling & Precertification Specialist

Hackensack Meridian Health; Clark (NJ); On-site; USD 26,000 - 37,000; Full time

Job summary

Hackensack Meridian Health is seeking a Prec ertification and Scheduling Coordinator to support clinical information collection, insurance verification, precertification, and scheduling. This role collaborates with physicians' practices to obtain necessary data and ensures accurate entry into the system.

The position emphasizes patient communication, timely scheduling, and adherence to department guidelines.

Qualifications

• High School diploma or GED or equivalent.
• Experience with obtaining health insurance verifications and precertification procedures.
• Proficient in computer skills.
• Knowledge of medical terminology.

Responsibilities

• Handles precertification procedures by collecting insurance information and entering into SMS.
• Utilizes Insurance Eligibility Verification system and explains process to patients.
• Verifies insurance benefits/coverage by contacting insurance companies.
• Obtains insurance information for precertification for procedures.
• Schedules patients.
• Requests and retrieves medical records and pathology reports from HUMC, other hospitals, clinics, or physicians' offices.
• Enters data to maintain patient history and appointment files.
• Schedules all appointments and provides daily schedule to patient transport and security.
• Collects co-pays and deductibles and posts in finance system.
• Processes requests for medical records.
• Identifies patient population needs and communicates at appropriate level.

Skills

Health insurance verifications

Precertification procedures

Proficient in computer skills

Knowledge of medical terminology

Education

High School diploma or GED

Job description

Hackensack Meridian Health is seeking a Prec ertification and Scheduling Coordinator to support clinical information collection, insurance verification, precertification, and scheduling. This role collaborates with physicians' practices to obtain necessary data and ensures accurate entry into the system.

The position emphasizes patient communication, timely scheduling, and adherence to department guidelines.