Precertification Coordinator

Ascension•Tulsa, OK

2d•Onsite

About The Position

Coordinate with physician offices and insurance companies in obtaining authorization for all hospital admissions. Obtain authorization on for admissions as required by health plans. Enter patient insurance authorizations and any pertinent information from insurance company into the patient account history. Document insurance coverage of services to be provided. Notify case management about interactions with insurance companies regarding services. Manage denials or potential denials as described by insurer. Monitor and review applicable schedule to ensure that authorization and initial length of stay is obtained and on file.

Requirements

High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Nice To Haves

Prior medical experience preferred
Prior precertification experience preferred

Responsibilities

Coordinate with physician offices and insurance companies in obtaining authorization for all hospital admissions.
Obtain authorization on for admissions as required by health plans.
Enter patient insurance authorizations and any pertinent information from insurance company into the patient account history.
Document insurance coverage of services to be provided.
Notify case management about interactions with insurance companies regarding services.
Manage denials or potential denials as described by insurer.
Monitor and review applicable schedule to ensure that authorization and initial length of stay is obtained and on file.