Specialist Precertification

NewYork-Presbyterian; New York (NY); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Competitive benefits

On-site work

Job summary

NewYork-Presbyterian/Weill Cornell Medical Center is hiring a Precertification Specialist for the Central Billing Office in New York. You will verify insurance coverage, obtain authorizations, and document all steps in the EHR to support timely payment and patient access.

The role requires a bachelor degree or equivalent, plus at least one year of related experience. Strong organizational, interpersonal, and communication skills — with proficiency in Microsoft Office — are essential to minimize

Qualifications

• Bachelor degree required.
• HS diploma or GED required.
• At least 1 year related experience.
• Experience with insurance verification and precertification.
• Familiarity with medical terminology and EHR workflows.

Responsibilities

• Verify insurance coverage and obtain precertifications.
• Enter and document actions in the EHR.
• Maintain compliance with payer requirements.
• Help minimize claim denials and support revenue cycle.
• Communicate with providers and payers as needed.

Skills

Insurance verification

Precertification

EHR systems

Medical terminology

Interpersonal communication

Microsoft Office

Multitasking

Education

Bachelor degree

High School diploma or GED

Tools

EHR system

Microsoft Office

Outlook

Word

Excel

Job description

Location

New York, New York

Shift

Day (United States of America)

Description

Precertification Specialist - Central Billing Office NewYork-Presbyterian/Weill Cornell Medical Center, an 862-bed medical center affiliated with Weill Cornell Medicine, provides emergency, primary, and specialty care in virtually every field of medicine. Our staff is dedicated to providing the highest quality, most compassionate care and service to each and every one of our patients and their families in a warm and friendly environment. Responsible for ensuring the timely and accurate processing of pre-certification requests by verifying insurance coverage, obtaining necessary authorizations (via internet, telephone, and/or fax), using/documenting within the Electronic Health Record (EHR) system, and maintaining compliance with payer requirements. This role is essential in minimizing claim denials and supporting a smooth revenue cycle to enhance both patient satisfaction and organizational financial health.

Preferred Criteria

• Bachelor degree
• High School diploma or GED
• One year of related experience
• Must know insurance verification, obtaining insurance precertification, human relationship skills, and the EHR (Electronic Health Record). Working knowledge or familiarity with medical terminology is preferred, and an understanding of various services and procedures performed by the organization
• Requires proofreading and organizational skills, computer data entry, knowledge of medical terminology, multi-tasking, and time management skills, as well as the EHR (Electronic Health Record). Excellent interpersonal, oral, and written communication skills. Must be able to foster teamwork to accomplish projects. Proficient in Microsoft Office Programs such as Outlook, Word, and Excel. Analytical skills, critical thinking, problem identification, and identifying alternative courses of action. Problem identification, identifying alternative courses of action, and resolving conflicts. Notify the supervisor of authorization problems to de-escalate issues. Needs to be able to work independently and follow the protocols and processes in place. If decisions are not covered by established protocols currently in place, you will need to notify the appropriate supervisor in regard to appropriate direction. Demonstrates honesty, reliability, and confidentiality.

Employer Culture

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion.

Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life.

Start your life-changing journey today.

Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP. NYP will not reimburse for travel expenses.

NewYork-Presbyterian Hospital is an equal opportunity employer.

Salary Range: $26.50-$35.00/Hourly

It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works. Internationally acclaimed, our hospital leads the way in research, life-shaping education and compassionate care. Step into a career at a truly Amazing place. Among the highest echelon of the topmost hospitals in the world, NewYork-Presbyterian is Making It Possible for patients at this moment. What does this mean for you? Nothing less than an extraordinary career. We care for 1 out of every 4 New Yorkers in medical need. The nation's largest not-for-profit academic medical center, with over 2 million patient visits a year.