Precertification Specialist - Central Billing Office

NewYork-Presbyterian Hospital

3d • $27 - $35 • Onsite

About The Position

Responsible for ensuring the timely and accurate processing of pre-certification requests by verifying insurance coverage, obtaining necessary authorizations (via internet, telephone, and/or fax), using/documenting within the Electronic Health Record (EHR) system, and maintaining compliance with payer requirements. This role is essential in minimizing claim denials and supporting a smooth revenue cycle to enhance both patient satisfaction and organizational financial health.

Requirements

• High School diploma or GED
• One year of related experience
• Insurance verification
• Obtaining insurance precertification
• Human relationship skills
• EHR (Electronic Health Record) proficiency
• Proofreading skills
• Organizational skills
• Computer data entry
• Knowledge of medical terminology
• Multi-tasking skills
• Time management skills
• Excellent interpersonal, oral, and written communication skills
• Ability to foster teamwork to accomplish projects
• Proficient in Microsoft Office Programs such as Outlook, Word, and Excel
• Analytical skills
• Critical thinking
• Problem identification
• Identifying alternative courses of action
• Resolving conflicts
• Honesty
• Reliability
• Confidentiality

Nice To Haves

• Bachelor degree
• Working knowledge or familiarity with medical terminology
• Understanding of various services and procedures performed by the organization

Responsibilities

• Verifying insurance coverage
• Obtaining necessary authorizations (via internet, telephone, and/or fax)
• Using/documenting within the Electronic Health Record (EHR) system
• Maintaining compliance with payer requirements
• Minimizing claim denials
• Supporting a smooth revenue cycle
• Notifying the supervisor of authorization problems to de-escalate issues
• Working independently and following protocols and processes
• Notifying the appropriate supervisor for direction when decisions are not covered by established protocols

Benefits

• Comprehensive and competitive benefits that support you and your family in every aspect of life
• Amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure
• Amazing benefits
• Countless opportunities for personal and professional growth
• Dynamic environment that embraces every person

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED