Precertification Coordinator--Hematology/Oncology Administration

at  Ascension

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.

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.
• Document insurance coverage of services to be provided.
• Notify 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.