Precertification, Scheduling & Disability Coordinator - Physician Services

Hackensack Meridian Health; Toms River (NJ); Presencial; USD 26.000 - 37.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health, dental, vision benefits

Tuition reimbursement

Retirement benefits

Descripción de la vacante

Hackensack Meridian Health is seeking a Precertification, Scheduling & Disability Coordinator to collaborate with referring physicians, verify insurance, obtain authorizations, and schedule patient appointments following department guidelines.

The role includes handling precertifications, verifying benefits, logging documentation, collecting co-pays, and coordinating with patients, insurers and employers to ensure smooth processes and timely care.

Formación

• High School diploma, GED, and/or GED equivalent programs.
• Experience with obtaining health insurance verifications and precertification procedures. Proficient in computer skills.
• Knowledge of medical terminology.

Responsabilidades

• Handle precertification procedures by collecting insurance information and entering data.
• Explain the Insurance Eligibility Verification process to patients.
• Verify insurance benefits/coverage by contacting insurers.
• Obtain insurance information for precertification for procedures, disability and/or FMLA forms.
• Log, prepare and send disability and FMLA forms with thorough documentation.
• Collect and log payments for applicable forms and maintain documentation.
• Field telephone calls from insurance companies, employers, adjusters and patients.
• Schedule all patient appointments and coordinate with patient transport and security.
• Retrieve medical records from HUMC and other hospitals or physician offices.

Conocimientos

Health insurance verifications

Precertification procedures

Computer skills

Medical terminology

Educación

High School diploma

GED

Descripción del empleo

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Precertification, Scheduling & Disability Coordinator collaborates with referring physicians practices to obtain clinical information, verifies/intakes patient insurance information, precertification, obtains authorizations from insurance companies, and schedules appointments with patients following the policy, procedure and guidelines of the department. Responsibilities also include, the accurate and timely completion and submission of disability and/or FMLA forms, while maintaining contact, thorough documentation and providing updates to the patient, insurance company and/or employer.

A day in the life of a Precertification, Scheduling & Disability Coordinator at Hackensack Meridian Health includes

• Handles precertification procedures pertaining to patients by collecting insurance information and entering information into SMS.
• Utilizes the Insurance Eligibility Verification system and explains the process to patients.
• Verifies insurance benefits/coverage by contacting insurance companies.
• Obtains insurance information for precertification for procedures, disability and /or FMLA forms.
• Log, prepare and send disability and FMLA forms and Diligently maintain full and accurate documentation within patients` accounts
• Collect and log payments for applicable forms and maintain complete documentation of such
• Field telephone calls from insurance companies, employers, adjusters and patients
• Schedules patients.
• Requests and retrieves medical records and pathology reports from HUMC, other hospitals, clinics, or physician`s offices.
• Enters computer data to ensure integrity of patient history and appointment files.
• Schedules all appointments for patients and provides copy of daily departmental schedule for patient transport and security.
• Collects co-pays and deductibles and posts same in the finance system following HUMC cash collection/reconciliation procedure.
• Processes all requests for medical records.
• Lifts a minimum of 5 lbs., pushes and pulls a minimum of 5 lbs. and stands a minimum of 4 hours a day.
• Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
• Adheres to the standards identified in the Medical Center's Organizational Competencies.

Education, Knowledge, Skills and Abilities Required

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Experience with obtaining health insurance verifications and precertification procedures. Proficient in computer skills.
• Knowledge of medical terminology.

Minimum rate of $23.13 Hourly

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to

Labor Market Data Compensation is benchmarked against market data to ensure competitiveness.

Experience Years of relevant work experience.

Education and Certifications Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.

Skills Demonstrated proficiency in relevant skills and competencies.

Geographic Location Cost of living and market rates for the specific location.

Internal Equity Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.

Budget and Grant Funding Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.