Pre-Certification Coordinator OSRA

Redeemer Health•Abington Township, PA

About The Position

Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career training. With medical and dental coverage, access to childcare & fitness facilities on campus, investment in your retirement, and community events, your career at Redeemer is more than a job. You’ll discover a commitment to quality care in a safe environment and a foundation from which you can provide and receive personalized attention. We look forward to being a part of your professional journey. We invite you to apply today. SUMMARY OF JOB The Coordinator is responsible for pre-certifying patients for injections, procedures and other items, as assigned. Obtains information from incoming patients or representatives and enters information into computer, and informs patients of appropriate policies and procedures. Pre-certifies patient insurance benefits prior to procedure, surgery, or diagnostic test, and orders drug supplies from vendors and pharmacy-supplied medications. The Coordinator prepares, scans, and indexes interfaced documents to the correct billing number, ensuring quality control for inpatient and outpatient discharged records. Reviews medical records and addresses deficiencies to assure compliance. Picks up records, handles requests for patient release of information, answers telephone calls, and provides front desk coverage, as needed. CONNECTING TO MISSION: Performs job responsibilities in light of the mission and values of Redeemer Health. Regardless of position, every job contributes to the challenge of providing health care. There is an ongoing responsibility for ensuring that the values of Respect, Compassion, Justice, Hospitality, Holistic Approach, Stewardship and Collaboration are present in our interactions with one another and the services we provide.

Requirements

High School Graduate
One-year experience in a medical practice setting or equivalent experience.
Knowledge of health insurance, pre-certification requirements, chart requirements and medical terminology
Proven communication skills to interact with co-workers, patients/families, physicians, and computer and filing skills
Proven understanding of importance to maintain strict patient confidentiality
Complies with established dress code
Demonstrated knowledge of emergency prepared policies and procedures, and maintains safe work practices
HIPAA Compliant

Responsibilities

pre-certifying patients for injections, procedures and other items, as assigned
Obtains information from incoming patients or representatives and enters information into computer, and informs patients of appropriate policies and procedures
Pre-certifies patient insurance benefits prior to procedure, surgery, or diagnostic test, and orders drug supplies from vendors and pharmacy-supplied medications
prepares, scans, and indexes interfaced documents to the correct billing number, ensuring quality control for inpatient and outpatient discharged records
Reviews medical records and addresses deficiencies to assure compliance
Picks up records, handles requests for patient release of information, answers telephone calls, and provides front desk coverage, as needed