Precertification Coordinator at Ascension

Milwaukee, Wisconsin, United States -

Full Time

Start Date

Immediate

Expiry Date

22 Feb, 26

Salary

0.0

Posted On

24 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Authorization Coordination, Insurance Communication, Patient Account Management, Denial Management, Schedule Monitoring, Surgical Authorization, Cardiology Knowledge, Remote Work Experience, Coding Experience, Epic Experience

Industry

Hospitals and Health Care

Description

Details Department: Revenue Cycle Management Schedule: 1.0 FTE | 40 hours a week | Full-time | Days | M-F | 8 AM - 4:30 PM | No weekends or holidays Hospital: Remote Location: Milwaukee, WI Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer. 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. 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. Additional Preferences Coordinate with physician offices and insurance companies in obtaining prior authorizations. Enter patient insurance authorizations and any pertinent information from insurance company into the patient chart. Document insurance coverage of services to be provided. Manage denials or potential denials as described by insurer. Monitor and review applicable schedule to ensure that authorization is secured within appropriate time frame. Previous surgical/procedure prior authorization experience required Previous Cardiology experience preferred Previous experience working remotely preferred. Previous coding experience preferred. Previous Epic experience preferred. Why Join Our Team Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities that allow you to create a career path you love, all while delivering compassionate, personalized care to the communities we serve. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you. Equal Employment Opportunity Employer Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster. As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension. Pay Non-Discrimination Notice Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants. This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.

Responsibilities

The Precertification Coordinator will coordinate with physician offices and insurance companies to obtain authorization for hospital admissions. They will manage denials and ensure that authorizations are secured in a timely manner.