Pre-Certification Coordinator I - Pediatrics Genetics
Core
Initiates and facilitates pre-determination processes for medical/surgical and diagnostic services to ensure efficient service delivery and maximize reimbursement through interaction with third-party payers.
Role type
Pre-certification coordinator
Builds
Pre-certification documentation and benefit verification for surgical and nonsurgical procedures
Domain
Healthcare administration / Medical billing
Deliverable
client delivery
Required skills
Insurance verification, Pre-certification process management, Documentation, Schedule coordination, Communication with physicians and financial counselors
Preferred skills
Medical Insurance Coding, Managed Care, External Customer relations, Organizing
Technologies
Office equipment
Responsibilities
Contact insurance companies for benefit verification and pre-certification; Supply documentation required during pre-certification; Maintain daily surgery/procedure schedule; Maintain written log of pre-certifications; Notify hospital utilization/billing department; Document receipt of pre-certification from insurance companies