Pre-Certification Coordinator 2

Ohio State University; Northern (KY); Hybrid; USD 40,000 - 60,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Retirement plan

Job summary

Ohio State University is seeking a Pre-Certification Coordinator 2 for remote work within the Health System Shared Services and Revenue Cycle teams. The role focuses on verifying benefits for outpatient, inpatient, and ambulatory services and obtaining prior authorizations for visits and procedures.

The position emphasizes accurate data gathering, coordinating patient appointments, and assisting clinical staff and patients in one streamlined transaction.

Qualifications

• High School diploma or GED required; certification or vocational training may be preferred.
• 1 year of relevant experience required; 2-4 years preferred.
• Must be able to use multiple software packages including EMR, scheduling, and eligibility tools.

Responsibilities

• Verify benefits for outpatient, inpatient, and ambulatory services and obtain prior authorizations as needed.
• Coordinate appointments and communicate with clinical staff and patients to support financial and clinical needs.
• Input accurate patient demographics and insurance information across systems.

Skills

Insurance verification

Customer service

Documentation

Education

High School diploma or GED

Certification or vocational training preferred

Tools

EMR software

Scheduling systems

Job description

Job Title

Pre-Certification Coordinator 2

Department

Health System Shared Services | Revenue Cycle Clinical Support Revenue Cycle

Position Summary

Pre-certification verifies benefits for outpatient, inpatient and ambulatory surgery services, as well as obtaining prior authorization for visits, procedures and hospitalizations, pre-approval, PCP referrals, predeterminations for all electively scheduled admissions, outpatient surgeries and other designated outpatient visits.

Responsibilities

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 Required Qualifications

• High School diploma or GED.
• Certification or vocational training may be preferred.
• 1 year of relevant experience required.
• 2-4 years of relevant experience preferred.

Additional Information

Location: Remote

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.

Benefits

Ohio State benefits give you options to take care of what matters most to you - and opportunities to make adjustments as your life and needs change, including:

• Medical, dental and vision coverage, with Ohio State paying a significant portion of the cost.
• Paid time off, including sick and vacation time and 11 holidays.
• State retirement plan or an alternative retirement plan, both with generous employer contributions.

About Ohio State

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

At Ohio State, you’ll find work that inspires you. We offer roles and growth opportunities in countless fields and specialties - including a job that’s right for you.

As Buckeyes, we accomplish more together. No matter your role, you’ll be part of creating what people need now: pathways to education, research and health care.

Working at Ohio State means you’re part of a team with a strong sense of community and an unwavering commitment to excellence - and, of course, incomparable Buckeye spirit.

We bring out the best in people, help each other succeed and learn together. By joining Ohio State, you become part of a top-20 public university with one of America’s leading academic health centers. We’re a team of dedicated colleagues with access to boundless resources that support you.