INSURANCE PRECERT COOR

Center for Vein RestorationGreenbelt, MD
Onsite

About The Position

Join a Healthcare Team Where You Belong At Center for Vein Restoration (CVR), our mission is simple but powerful: to improve lives every day. Every patient we care for inspires us to do more, give more, and be more for them and each other. As the nation’s premier physician-led vein center, we combine cutting-edge, outpatient vascular treatments with compassion, integrity, and trust to make a meaningful difference in the communities we serve. The Insurance Precertification Coordinator is responsible for processing pre-authorization, and Predetermination requests for patients.

Requirements

  • Excellent customer service skills
  • Must be an effective communicator
  • Dedicated to follow-through and results
  • Detail-oriented
  • Flexibility as it relates to schedule, responsibilities and priorities
  • Strong organizational skills
  • The ability to work independently and as a member of a team
  • Associates Degree preferred
  • Minimum of 1 year in administrative experience in a medical office

Responsibilities

  • Verify patient eligibility and benefits information from the benefit notes and insurance listed in the patient chart
  • Submit Predeterminations of coverage, Preauthorization requests, Precertification, and Date of Service change requests to insurance companies
  • Follow-up with insurance companies to secure the authorizations approvals for treatment
  • Secure approvals or denials, ensure information is documented in the patient’s chart, and notify centers of the outcome
  • Collect and confirm patient sensitive data such as ID and Insurance cards from patient charts
  • Run daily reports corresponding with patient data
  • Respond to questions from insurance companies and patients
  • Will be cross-trained to handle all functions of benefit checking and Precertification
  • Other projects as assigned by management
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