Precertification Coordinator

at  Ascension

Glendale, WI 53212, USA -

Start DateExpiry DateSalaryPosted OnExperienceSkillsTelecommuteSponsor Visa
Immediate03 Oct, 2024Not Specified04 Jul, 20241 year(s) or aboveGood communication skillsNoNo
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Description:

REQUIREMENTS

Education:

  • High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
  • Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Responsibilities:

Coordinate with physicians offices and insurance companies in obtaining authorization for all hospital admissions.

  • Obtain authorization on for admissions as required by health plans.
  • Enter patient insurance authorizations and any pertinent information from insurance company into the patient account history.
  • Documents insurance coverage of services to be provided.
  • Notifiy case management about interactions with insurance companies regarding services.
  • Manage denials or potential denials as described by insurer.
  • Monitor and review applicable schedule to ensure that authorization and initial length of stay is obtained and on file.


REQUIREMENT SUMMARY

Min:1.0Max:6.0 year(s)

Hospital/Health Care

Pharma / Biotech / Healthcare / Medical / R&D

Health Care

Diploma

Proficient

1

Glendale, WI 53212, USA