Pre Certification Coordinator at Albany ENT & Allergy Services P C

Albany, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

08 Jun, 26

Salary

23.0

Posted On

11 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Attention To Detail, Customer Service, Insurance Verification, Authorization Obtaining, Procedure Coding, Prepayment Collection, Data Entry, Communication, Confidentiality, Organizational Skills, Problem-Solving, Adaptability

Industry

Medical Practices

Description

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 $18.00 to $23.00. 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, 2024 and 2025. 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!

Responsibilities

This role involves verifying patient insurance benefits and eligibility, obtaining necessary authorizations, providing procedure codes and fee estimates, and collecting prepayments from patients. Key duties include maintaining pre-certification status in patient charts and communicating financial expectations to patients before procedures.