Precertification Clerk - Impactful Patient Access & Billing

LMH; Lawrence (KS); On-site; USD 32,000 - 42,000; Full time

Job summary

LMH Health in Lawrence, KS is seeking a Pre-Certification Clerk to coordinate between insurance providers, physician offices and hospital departments to obtain prior authorizations and notify patients of coverage details.

You will verify eligibility, determine benefits, estimate patient responsibility, contact patients, arrange advance payments or payment plans, and ensure early registration with accurate demographics.

Qualifications

• High School diploma or equivalent.
• Two years prior healthcare setting work experience preferred.

Responsibilities

• Coordinate pre-certification with insurance, physicians, registration and billing to obtain prior authorizations.
• Verify insurance coverage and determine benefits for requested services.
• Inform patients of benefits and estimated financial responsibility; initiate payments or payment plans.
• Perform early registration and ensure accurate patient demographics per policy.
• Document communications with insurance companies, offices, scheduling, and billing.

Education

High School diploma or equivalent

Tools

RelayHealth Verifier

STAR

Job description

LMH Health in Lawrence, KS is seeking a Pre-Certification Clerk to coordinate between insurance providers, physician offices and hospital departments to obtain prior authorizations and notify patients of coverage details.

You will verify eligibility, determine benefits, estimate patient responsibility, contact patients, arrange advance payments or payment plans, and ensure early registration with accurate demographics.