Precertification Coordinator *Remote*

Us Uro; Columbus (OH); Remote; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical, dental and vision plans

HSA / FSA

401(k) matching

Employee Assistance Program

Job summary

U.S. Urology Partners is seeking a Prec ertification Coordinator to support our U.S. operations remotely from Columbus, OH.

You will manage authorizations with third parties, verify eligibility, and communicate financial responsibilities to patients while ensuring compliance with the No Surprises Act. You will coordinate with physicians, clinical staff, and insurers to obtain authorizations, explain patient financials, and maintain accurate contact files.

Qualifications

• Two years of precertification experience in a medical practice or medical organization.
• Excellent verbal and written communication skills.
• Benefits or claims processing experience and electronic medical records experience.
• Ability to interpret instructions and solve practical problems.

Responsibilities

• Coordinates authorizations and benefits with third parties for visits, procedures, surgeries, medications, imaging, lab and any other treatments that are ordered.
• Verifies eligibility and requests authorizations for various medical orders.
• Calculates, communicates with patients and collects co-pays, deductibles, co-insurance, previous balances or other money owed.
• Maintains files for contacts and phone numbers for third party communication.
• Prepares and sends Good Faith Estimates to self pay patients in accordance with the No Surprises Act.
• Handles problem referrals with third party and coordinates solution with clinical unit, patient and referral provider.
• Coordinating with physician, clinical staff, insurances, and patients to obtain the authorization.

Skills

Precertification experience

Verbal communication

Written communication

Claims processing

Electronic Medical Records

Tools

EMR software

Job description

## Precertification Coordinator \\*Remote\\*Apply: Columbus, OH: Full time: Posted Today: R3403**About the Role**To support U.S Urology by providing claims processing and precertification for the organization. **What You’ll Be Doing*** Coordinates authorizations and benefits with third parties for visits, procedures, surgeries, medications, imaging, lab and any other treatments that are ordered* Verifies eligibility and requests authorizations for various medical orders* Calculates, communicates with patients and collects co-pays, deductibles, co-insurance, previous balances or other money owed* Maintains files for contacts and phone numbers for third party communication* Prepares and sends Good Faith Estimates to self pay patients in accordance with the No Surprises Act* Handles problem referrals with third party and coordinates solution with clinical unit, patient and referral provider* Coordinating with physician, clinical staff, insurances, and patients to obtain the authorization* Other duties as assigned**What We Expect from You*** Two (2) years of experience in Precertification in a medical practice or medical organization (will substitute educational experience for on the job experience)* Excellent verbal and written communication skills* Benefits or claims processing skills and electronic medical records experience **Reasoning Ability**Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.**Computer Skills**To perform this job successfully, an individual should have thorough knowledge in computer information systems. **Other Duties**Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. **What We are Offer You**At U.S. Urology Partners, we are guided by four core values. Every associate living the core values makes our company an amazing place to work. Here “Every Family Matters”# **Compassion**Make Someone’s Day# **Collaboration**Achieve Possibilities Together# **Respect**Treat people with dignity# **Accountability**Do the right thingBeyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more.**About US Urology Partners**U.S. Urology Partners is one of the nation’s largest independent providers of urology and related specialty services, including general urology, surgical procedures, advanced cancer treatment, and other ancillary services. Through Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U.S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. U.S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy.*U.S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.*