Precertification & Benefits Coordinator

Nationwide Children's Hospital; Columbus (OH); On-site; USD 36,000 - 48,000; Full time

Job summary

Nationwide Children's Hospital is seeking a dedicated individual for a role focusing on verifying and documenting benefit information and ensuring optimal payment to the hospital and providers. Responsibilities include contacting insurance companies, documenting authorizations in Epic, and facilitating communication regarding denials and appeal options.

The ideal candidate will possess strong computer skills, excellent written communication abilities, and organization skills, with a high school diploma required and an Associate’s Degree preferred. There are opportunities to work on-site during the probation period.

Qualifications

• Strong ability to navigate current technology systems.
• Excellent written, communication, and organizational skills.

Responsibilities

• Verifies and documents benefit information.
• Obtains and verifies insurance prior authorization.
• Communicates authorization denials and appeal options.
• Participates in department meetings and resolves issues.
• Maintains knowledge of payer standards and requirements.

Skills

Strong computer skills

Excellent written communication

Organizational skills

Education

High school graduate

Associate’s Degree

Job description

Nationwide Children's Hospital is seeking a dedicated individual for a role focusing on verifying and documenting benefit information and ensuring optimal payment to the hospital and providers. Responsibilities include contacting insurance companies, documenting authorizations in Epic, and facilitating communication regarding denials and appeal options.

The ideal candidate will possess strong computer skills, excellent written communication abilities, and organization skills, with a high school diploma required and an Associate’s Degree preferred. There are opportunities to work on-site during the probation period.