Precertification Coordinator Remote

U.S. Urology Partners • Columbus, OH

23h • Remote

About The Position

To support U.S Urology by providing claims processing and precertification for the organization.

Requirements

• Two (2) years of experience in Precertification in a medical practice or medical organization (will substitute educational experience for on the job experience)
• Excellent verbal and written communication skills
• Benefits or claims processing skills and electronic medical records experience
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Thorough knowledge in computer information systems.

Responsibilities

• Coordinates authorizations and benefits with third parties for visits, procedures, surgeries, medications, imaging, lab and any other treatments that are ordered
• Verifies eligibility and requests authorizations for various medical orders
• Calculates, communicates with patients and collects co-pays, deductibles, co-insurance, previous balances or other money owed
• Maintains files for contacts and phone numbers for third party communication
• Prepares and sends Good Faith Estimates to self pay patients in accordance with the No Surprises Act
• Handles problem referrals with third party and coordinates solution with clinical unit, patient and referral provider
• Coordinating with physician, clinical staff, insurances, and patients to obtain the authorization
• Other duties as assigned

Benefits

• comprehensive medical, dental and vision plans
• HSA / FSA
• 401(k) matching
• Employee Assistance Program (EAP)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed