Pre Certification Coordinator

Company: Albany ENT & Allergy Services P C
Location: Albany
Posted on: January 26, 2023

Job 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. The Pre Certification Coordinator may be a hybrid or remote position for candidates living in New York State. 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.
  • High School Diploma or GED
  • 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.Albany ENT & Allergy Services is proud to offer 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!PI202087811

Keywords: Albany ENT & Allergy Services P C, Albany , Pre Certification Coordinator, Other , Albany, New York