Orthopedic Precertification & Scheduling Specialist

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

Job summary

Hackensack Meridian Health is seeking a Precertification and Scheduling Coordinator to join our team. You will collaborate with referring physicians and practices to obtain clinical information, verify patient insurance, obtain precertifications and authorizations, and schedule appointments in accordance with department policies.

You will manage patient communications, collect payments, retrieve medical records, and maintain accurate scheduling data while applying our organizational competencies

Qualifications

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

Responsibilities

• Handles precertification procedures pertaining to patients by collecting insurance information and entering information into SMS.
• Utilizes the Insurance Eligibility Verification system and explains process to patients.
• Verifies insurance benefits/coverage by contacting insurance companies.
• Obtains insurance information for precertification for procedure.
• Schedules patients.
• Requests and retrieves medical records and pathology reports from HUMC, other hospitals, clinics, or physician's offices.
• Enters computer data to ensure integrity of patient history and appointment files.
• Schedules all appointments for patients and provides copy of daily departmental schedule for to patient transport and security.
• Collects co-pays and deductibles and posts same in the finance system following HUMC cash collection/reconciliation procedure.
• Processes all requests for medical records.
• Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs.

Skills

Health insurance verification

Precertification procedures

Medical terminology

Computer skills

Education

High School diploma or GED

Job description

Hackensack Meridian Health is seeking a Precertification and Scheduling Coordinator to join our team. You will collaborate with referring physicians and practices to obtain clinical information, verify patient insurance, obtain precertifications and authorizations, and schedule appointments in accordance with department policies.

You will manage patient communications, collect payments, retrieve medical records, and maintain accurate scheduling data while applying our organizational competencies