Pre Certification Coordinator na Albany ENT & Allergy Services P C
Albany ENT & Allergy Services P C · Albany, Estados Unidos Da América · Onsite
- Professional
- Escritório em Albany
Description
Do you enjoy working in a fast-paced office where your attention to detail skills really shine? Is providing excellent customer service something you strive for every day? If so, we have a job you should consider! This position is responsible for verifying patient's insurance benefits and eligibility, obtaining required authorization, providing procedure codes and fee estimates, and collecting prepayment from patients.
DUTIES & RESPONSIBILITIES:
- Monitor tasks and maintains information in patient chart with status of pre-certification process; Verify receipt of all necessary pre-authorization documents prior to procedure
- Verify insurance eligibility and benefits via phone and/or internet access. Update insurance policy information in NextGen system as required.
- Check insurance payment policy for scheduled procedures and obtain prior authorization when required.
- Communicate the status of the precertification effectively with the facility in which the procedure will be performed as needed.
- Assign appropriate ICD10 And CPT codes pre-operatively based on documentation.
- Notify primary care physician for managed care plans that require PCP authorization.
- Supply patients with written or verbal estimates of codes and fees upon request.
- Communicate financial expectations and the billing process to patients prior to their procedure.
- Collect pre-payment from the patient when necessary.
- Notify patients with past due accounts of pre-payment policy for elective services. Collect payments from patients.
- Serve as a resource on insurance, billing and customer service for staff.
Requirements
- High School Diploma or GED
- 2 – 3 years previous experience working in a health care environment. Prior precertification and medical coding experience preferred.
- Ability to maintain strict confidentiality.
- Ability to work in a collaborative team environment and build strong relationships
- Possess excellent customer relation skills
- Excellent verbal and written communication skills; presentation skills a plus
- Ability to adapt to change and work in a fast-paced environment.
- Detail-oriented with strong organizational and problem-solving skills.
COMPENSATION: The compensation range for this position is $18 to $22. Actual compensation within that range will be dependent upon the individual’s skills, education, experience, and qualifications.
Albany ENT & Allergy Services is proud to have been named a Best Place to Work in the Capital Region for 2023 and 2024. Albany ENT offers a consistent schedule with no weekend hours, a competitive salary, and a comprehensive benefits package, which includes health insurance, generous paid time off, and paid holidays.
If you are looking for a new opportunity with a practice that values their employees, believes in work/life balance, and prides itself on delivering compassionate, patient-centered care, we encourage you to APPLY TODAY!
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