Precertification & Scheduling Coordinator - Physician Practice

Hackensack Meridian Health•Edison, NJ

1d•$23

About The Position

The Precertification and Scheduling Coordinator collaborates with referring physician practices to obtain clinical information, verifies and intakes patient insurance information, obtains precertifications and insurance authorizations, and schedules patient appointments in accordance with departmental policies, procedures, and guidelines. The role also supports patient communication, medical-record retrieval and processing, accurate patient and appointment data, and payment collection.

Requirements

High school diploma, general equivalency diploma (GED), or GED-equivalent program.
Experience obtaining health insurance verifications and completing precertification procedures.
Proficiency in computer skills.
Knowledge of medical terminology.

Responsibilities

Handle patient 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, or 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 copays and deductibles and post them 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 modify and deliver care to address factors such as age, culture, language, and hearing or visual impairment.
Communicate with patients, parents, or primary caregivers at an appropriate developmental, age, educational, and literacy level.
Adhere to the standards identified in the Medical Center's Organizational Competencies.