Precertification and Scheduling Coordinator - Laparoscopy - Physician Practice

Hackensack Meridian Health•Paramus, NJ

1d•$24

About The Position

The Precertification and Scheduling Coordinator collaborates with referring physicians’ practices to obtain clinical information, verifies and intakes patient insurance information, obtains precertification and insurance authorizations, and schedules patient appointments in accordance with department policies, procedures, and guidelines. The role also supports patient record management, payment collection, accurate patient and appointment files, and communication tailored to the needs of the patient population.

Requirements

High school diploma, GED, or equivalent.
Experience obtaining health insurance verifications and handling precertification procedures.
Proficient computer skills.
Knowledge of medical terminology.

Responsibilities

Handle precertification procedures by collecting insurance information and entering it into SMS.
Use the Insurance Eligibility Verification system and explain the process to patients.
Verify insurance benefits and coverage by contacting insurance companies.
Obtain insurance information needed for procedure precertification.
Schedule patient appointments.
Request and retrieve medical records and pathology reports from HUMC, other hospitals, clinics, and physician offices.
Enter computer data to maintain the integrity of patient history and appointment files.
Provide copies of the daily departmental schedule to patient transport and security.
Collect co-pays and deductibles and post payments in the finance system according to HUMC cash collection and reconciliation procedures.
Process requests for medical records.
Identify the needs of the patient population and adapt care and communication to patients’ age, culture, language, hearing or visual needs, developmental level, education, and literacy.
Adhere to the standards identified in the Medical Center’s Organizational Competencies.