Specialist Precertification
About The Position
Precertification Specialist - Central Billing Office NewYork-Presbyterian/Weill Cornell Medical Center, an 862-bed medical center affiliated with Weill Cornell Medicine, provides emergency, primary, and specialty care in virtually every field of medicine. Our staff is dedicated to providing the highest quality, most compassionate care and service to each and every one of our patients and their families in a warm and friendly environment. 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)
- Proofreading and organizational skills
- Computer data entry
- Knowledge of medical terminology
- Multi-tasking
- Time management skills
- Excellent interpersonal, oral, and written communication skills
- Proficient in Microsoft Office Programs such as Outlook, Word, and Excel
- Analytical skills
- Critical thinking
- Problem identification
- Identifying alternative courses of action
- Resolving conflicts
- Ability to work independently
- Ability to follow the protocols and processes in place
- Demonstrates honesty, reliability, and 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
- Fostering teamwork to accomplish projects
- Notifying the supervisor of authorization problems to de-escalate issues
- Notifying the appropriate supervisor in regard to appropriate 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
