Remote Pre-Certification Specialist - Insurance Verifications

The Ohio State University Wexner Medical Center; Northern (KY); Hybrid; USD 42,000 - 54,000; Full time

Job summary

The Ohio State University Health System is seeking a Pre-certification Coordinator 1 to support insurance verification and precertification for outpatient and inpatient services in the revenue cycle. You will verify benefits and obtain prior authorizations for visits, procedures, and hospitalizations.

The role involves contacting patients to gather information, informing them of potential co-pays, and coordinating with care teams to ensure timely approvals.

Qualifications

• High School diploma or GED, and 6 months relevant experience in healthcare or revenue cycle.
• Experience with authorization work in a physician practice, hospital, or insurance setting preferred.
• Familiar with medical terminology; proficient with Windows and Excel.
• Ability to work across multiple databases and software applications; good communication with health care team.

Responsibilities

• Coordinate insurance verification and precertification for outpatient and inpatient services.
• Obtain prior authorization, pre-approvals, PCP referrals, and predeterminations.
• Contact patients to collect demographic and insurance details; explain co-pays.

Skills

Healthcare experience

Revenue Cycle

Customer Service

Authorization work

Medical terminology

Windows

MS Excel

Database navigation

Education

High School diploma or GED

Tools

MS Excel

Database systems

Job description

The Ohio State University Health System is seeking a Pre-certification Coordinator 1 to support insurance verification and precertification for outpatient and inpatient services in the revenue cycle. You will verify benefits and obtain prior authorizations for visits, procedures, and hospitalizations.

The role involves contacting patients to gather information, informing them of potential co-pays, and coordinating with care teams to ensure timely approvals.