Pre-certification Coordinator 1

Ohio State University; Oregon (IL); Remote; USD 40,000 - 70,000; Full time

Job summary

Join a dynamic team as a Pre-certification Coordinator, where you will play a vital role in ensuring seamless patient experiences. This position involves managing appointment scheduling, verifying insurance, and providing essential information to both clinical staff and patients. You'll be part of a forward-thinking organization that values customer service excellence and promotes a collaborative environment. If you have a passion for healthcare and a knack for problem-solving, this role offers you the chance to make a real difference in patient care while working remotely. Embrace the opportunity to grow and thrive in a supportive community dedicated to innovation and excellence.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Tuition Assistance

Retirement Options

Flexible Work Hours

Qualifications

• Minimum 6 months experience in customer service or healthcare.
• Strong problem-solving and presentation skills are essential.

Responsibilities

• Provide accurate information regarding products and services.
• Coordinate appointment scheduling and insurance verification.

Skills

Customer Service

Communication Skills

Problem-Solving

Medical Terminology

Interpersonal Skills

Education

High School Diploma or GED

Tools

Windows

Excel

Electronic Medical Record Systems

Job description

Pre-certification Coordinator 1 page is loaded

Pre-certification Coordinator 1

Apply locations Remote Location time type Full time posted on Posted Yesterday job requisition id R127321

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Job Title:

Pre-certification Coordinator 1

Department:

Health System Shared Services | Revenue Cycle Clinical Support

Scope of Position

The Revenue Cycle for The Ohio State University Wexner Medical Center is responsible for providing excellent customer service while processing patient demographic and insurance information efficiently and accurately. Areas within the Revenue Cycle include pre-registration, registration, pre-certification, financial clearance and counseling, financial assistance, scheduling, billing, claims follow-up, customer service and cash collection. The primary responsibility of staff with the Revenue Cycle is to ensure the collection of net revenue for services rendered.

Position Summary

The Pre-certification Coordinator is an expert in product, process or service line area (physician appointment scheduling, OR/admission, full service scheduling; pre-registration and registration; insurance verification, and patient liability determination and communication). This position is responsible for providing consumers (clinical staff and patients) with accurate, up-to-date information regarding products, services and general procedures. Schedule return appointments and/or other appointments as assigned. Assures accurate appointment, demographic and insurance information is gathered to support clinical and financial needs including changes to insurance or other patient information. Provides support to physicians and consumer by coordinating their requests and satisfying their needs in one transaction. Solves routine and complex customer problems and knows where to direct customers to address specific questions. Communicates regularly with clinical staff, medical secretaries and staff within the product/service line to ensure customer and department staff needs are met. Always creates a positive first impression. Must be able to use a variety of software packages which include the Electronic Medical record, scheduling and registration systems, ABN, eligibility, document management software, and etc.

Minimum QualificationsFor Hire:

Required: Per CCS Class Specs: 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: Experience with Windows, Excel, and Intranet/internet navigation tools as well as system content. Medical terminology, coding and third party reimbursement experience. Ability to work in multiple systems for assigned tasks, management and reporting. Strong problem-solving and presentation skills. High level of customer service skills. Able to prioritize and coordinate multiple tasks in a busy environment.

Ongoing requirements: Demonstrates competency in daily functions, interpersonal and cognitive skills required to meet essential job functions. Maintains knowledge related to product/service line, quality improvement, cost reduction, current registration and billing policy and procedures as well as scheduling policies and procedures. Must maintain proficiency in utilizing all applicable systems. Must meet mandatory educational and health requirements, as well as ongoing scheduling and registration competencies. Attends Health System and Departmental In-services, education forums, and meetings as required.

Additional Information:

Location:

Remote Location

Position Type:

Regular

Scheduled Hours:

40

Shift:

First Shift

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions .

The university is an equal opportunity employer, including veterans and disability.

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Each day, Buckeyes across the state and around the world make a lasting impact.

The Ohio State University sets the stage for academic achievement and innovation. It's where friendships are forged, tradition is brought to life and a better global community is built. Our mission is as clear today as it was 150 years ago: to illuminate a pathway to education, research and health care that creates vibrant futures.

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Ohio State is a dynamic community where opportunity thrives and individuals transform themselves and their world. Positions are available in countless fields and specialties.

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