Pre-certification Coordinator I

The Ohio State University

2d • Onsite

About The Position

The Pre-certification Coordinator serves as the first point of contact for patients and visitors of The Ohio State University Wexner Medical Center (OSUWMC) and provides exceptional customer service while ensuring the financial viability of OSUWMC. The Pre-certification Coordinator is knowledgeable in product, process or service line area (physician appointment scheduling, OR/admission, full service scheduling; pre-registration and registration; insurance verification, patient liability determination and communication). This position is responsible for providing consumers (clinical staff and patients) with accurate, up-to-date information regarding insurance benefits, and authorizations. Assures accurate appointment, demographic and insurance information is gathered to support clinical and financial needs including changes to insurance or other patient information. Provides support to physicians and customers by coordinating their requests and satisfying their needs in one transaction. Solves routine and complex customer problems and knows where to direct customers to address specific questions. Communicates regularly with clinical team, medical staff and other team members within the product/service line to ensure customer and department needs are met. The precertification department uses a variety of tools and communication methods to obtain authorization and must be able to determine most appropriate method of contact. This includes but is not limited to electronic transactions, numerous web portals, phone calls and faxes. Flexibility and continuous ability and willingness to learn new technology as it becomes available are essential. Must be able to use a variety of software packages which include the Electronic Medical record, scheduling and registration systems, ABN, eligibility, document management software, etc.

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

Responsibilities

• Providing exceptional customer service
• Ensuring the financial viability of OSUWMC
• Providing consumers with accurate, up-to-date information regarding insurance benefits and authorizations
• Assuring accurate appointment, demographic, and insurance information is gathered
• Providing support to physicians and customers
• Solving routine and complex customer problems
• Communicating regularly with clinical team, medical staff, and other team members
• Obtaining authorization using a variety of tools and communication methods

Benefits

• Eligible Ohio State employees receive comprehensive benefits packages, including medical, dental and vision insurance, tuition assistance for employees and their dependents, and state or alternative retirement options with competitive 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