Pre-Certification Coordinator (Remote) - Department of Medicine - Business Office

ASBO International; St. Louis (MO); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company in healthcare services is seeking a professional to ensure efficient medical/surgical and diagnostic services. The role involves interacting with insurance companies for pre-certification and maintaining schedules. Ideal candidates have experience in a medical office and strong communication skills.

Benefits

Vacation

Holidays

Health Insurance

Retirement Plan

Wellness Programs

Family Leave

Tuition Assistance

Qualifications

• 3 years in a medical office setting.

Responsibilities

• Initiates and facilitates pre-determination process.
• Contacts insurance companies for benefit verification.
• Maintains daily surgery/procedure schedule.

Skills

Communication

Insurance

Coding

Organizing

Customer Service

Education

High school diploma or equivalent

Associate degree

Job description

Scheduled Hours

40

Position Summary

The position performs varied professional services to ensure medical/surgical and diagnostic/ancillary services are accomplished efficiently and that reimbursement is maximized through interaction with third-party payers.

Job Description

Primary Duties & Responsibilities:

• Initiates and facilitates pre-determination process.
• Contacts insurance companies for benefit verification and pre-certification; notifies financial counselor for pre-payment of un-coded services.
• Provides documentation required during pre-certification to insurance companies.
• Maintains daily surgery/procedure schedule; communicates with physicians and assistants regarding schedules.
• Logs all pre-certifications and notifies hospital utilization/billing department.
• Documents receipt of pre-certification from insurance companies.

Working Conditions:

Job Location/Working Conditions: Normal environment, patient care setting.

Physical Effort: Sitting at desk, repetitive wrist, hand, or finger movements.

Equipment: Office equipment.

Minimum Qualifications:

Education: High school diploma or equivalent.

Certifications: None required.

Work Experience: 3 years in a medical office setting.

Skills: Not applicable.

Driver's License: Not required.

Preferred Qualifications:

Education: Associate degree.

Certifications: CPC or RHIT preferred.

Work Experience: No additional beyond required qualifications.

Skills: Communication, insurance, coding, organizing, and customer service skills.

Additional Information:

Salary range: $20.57 - $30.84/hour. Benefits include vacation, holidays, health insurance, retirement plan, wellness programs, family leave, tuition assistance, and more. Equal opportunity employer.