Precertification, Scheduling & Disability Coordinator - Physician Services

Hackensack Meridian Health•Toms River, NJ

22h•$23•Onsite

About The Position

The Precertification, Scheduling & Disability Coordinator collaborates with referring physicians practices to obtain clinical information, verifies/intakes patient insurance information, precertification, obtains authorizations from insurance companies, and schedules appointments with patients following the policy, procedure and guidelines of the department. Responsibilities also include, the accurate and timely completion and submission of disability and/or FMLA forms, while maintaining contact, thorough documentation and providing updates to the patient, insurance company and/or employer.

Requirements

High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
Experience with obtaining health insurance verifications and precertification procedures.
Proficient in computer skills.
Knowledge of medical terminology.

Responsibilities

Handles precertification procedures pertaining to patients by collecting insurance information and entering information into SMS.
Utilizes the Insurance Eligibility Verification system and explains the process to patients.
Verifies insurance benefits/coverage by contacting insurance companies.
Obtains insurance information for precertification for procedures, disability and /or FMLA forms.
Log, prepare and send disability and FMLA forms and Diligently maintain full and accurate documentation within patients` accounts
Collect and log payments for applicable forms and maintain complete documentation of such
Field telephone calls from insurance companies, employers, adjusters and patients
Schedules patients.
Requests and retrieves medical records and pathology reports from HUMC, other hospitals, clinics, or physician`s offices.
Enters computer data to ensure integrity of patient history and appointment files.
Schedules all appointments for patients and provides copy of daily departmental schedule for patient transport and security.
Collects co-pays and deductibles and posts same in the finance system following HUMC cash collection/reconciliation procedure.
Processes all requests for medical records.
Lifts a minimum of 5 lbs., pushes and pulls a minimum of 5 lbs. and stands a minimum of 4 hours a day.
Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
Adheres to the standards identified in the Medical Center's Organizational Competencies.