Pre Certification Coordinator

Albany ENT & Allergy Services P C • Albany, NY

2d • $18 - $23

About The Position

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.

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.

Nice To Haves

• Prior precertification and medical coding experience preferred.
• presentation skills a plus

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.

Benefits

• 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.

What This Job Offers

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