Insurance Verification Assistant

The Ohio State University

7d • Remote

About The Position

The Pre-Certification coordinator is responsibilities include understanding and verifying benefits for Outpatient, Inpatient and Ambulatory Surgery Services as well as obtaining prior authorization for visits, procedures and hospitalizations, pre-approval, pcp referrals, and predeterminations for all electively scheduled admissions and outpatient surgeries and other designated outpatient visits. In addition, the analyst will at times contact patients/families in order to ascertain additional demographic and insurance information essential to the authorization processes while also informing patients of co-pays that will be due.

Requirements

• High School Diploma or GED
• PC Knowledge and interpersonal, verbal, and written communication
• Minimum 6 months experience in customer service or a healthcare environment

Nice To Haves

• Associates Degree and at least 1 year experience in a Patient Revenue role at OSUWMC
• Experience with medical terminology and payer requirements preferred
• Experience with Windows, Excel, and intranet/internet navigation tools as well as system content
• Demonstrated ability to work in multiple databases and software applications; experience using automated databases for management and reporting
• Ability to work in self-directed manner while interacting with consumers, physicians and all medical center faculty and staff
• Ability to communicate clearly with health care team

Responsibilities

• understanding and verifying benefits for Outpatient, Inpatient and Ambulatory Surgery Services
• obtaining prior authorization for visits, procedures and hospitalizations, pre-approval, pcp referrals, and predeterminations for all electively scheduled admissions and outpatient surgeries and other designated outpatient visits
• contact patients/families in order to ascertain additional demographic and insurance information essential to the authorization processes
• informing patients of co-pays that will be due

Benefits

• Medical, dental and vision coverage, with Ohio State paying a significant portion of the cost.
• Paid time off, including sick and vacation time and 11 holidays.
• State retirement plan or an alternative retirement plan, both with generous employer contributions.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees