Pre-Authorization Coordinator

Weill Cornell Medical College • New York, NY

1d • $30 - $33 • Remote

About The Position

Under direction, is responsible for the management of insurance verifications, eligibility and prior authorizations for services requiring referrals, including surgical procedures, visits and diagnostic testing.

Requirements

• High School Diploma or equivalent required.
• Approximately 2 years prior related experience in a customer service focused role.
• Knowledge of CPT, ICD9, and ICD10 coding.
• Excellent communication skills (both verbal and written).
• Professional appearance, punctuality and a sense of urgency.
• Ability to plan and prioritize work while responding to rapidly changing priorities.
• Detail oriented.

Responsibilities

• Ensures that patient demographic, insurance information, verification and eligibility have been established and documented.
• Verifies pre-certifications and obtains upgrades if needed. If pre-certification is not obtained for next day, notifies the referring doctor's office and contacts the patient to find out if they would rather reschedule.
• Responsible for obtaining financial clearance and/or prior balances patients may have.
• Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to appointment date. Facilitates the communication and collection of any fees due from patient.
• Documents and communicates with clinical staff, physicians, administrators and patients regarding insurance problems/discrepancies; contacts patients to receive updated insurance information or correct issues.
• Scans documentation into the EMR system as necessary. Inputs and/or obtains authorizations/precertifications into and from within online systems.
• Initiates and prepares written correspondence as needed and based on functional needs.
• Attends workshops, seminars and/or conferences to keep abreast of standards and best practices within the field. Disseminates information to colleagues and/or staff as appropriate.
• Performs other related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED