Insurance Verification Assistant
Inside Higher Ed, Columbus, OH, United States
Job Title:
Insurance Verification Assistant
Department:
James | Precert and Financial Counseling
Job Description
The Pre-Certification coordinator is responsible for understanding and verifying benefits for Outpatient, Inpatient, and Ambulatory Surgery Services as well as obtaining prior authorization for visits, procedures, and hospitalizations, pre-approval, PCP referrals, and predeterminations for all electively scheduled admissions and outpatient surgeries and other designated outpatient visits. In addition, the analyst will at times contact patients/families to ascertain additional demographic and insurance information essential to the authorization processes while also informing patients of co‑pays that will be due.
Minimum Education Required
Per Classified Civil Service Specifications.
Required Qualifications
High School Diploma or GED.
PC knowledge and strong interpersonal, verbal, and written communication skills.
Minimum 6 months experience in customer service or a healthcare environment.
Preferred Qualifications
Associate's Degree and at least 1 year of experience in a Patient Revenue role at OSUWMC.
Experience with medical terminology and payer requirements.
Experience with Windows, Excel, and intranet/internet navigation tools as well as system content.
Demonstrated ability to work in multiple databases and software applications; experience using automated databases for management and reporting.
Ability to work in a self‑directed manner while interacting with consumers, physicians, and all medical center faculty and staff.
Ability to communicate clearly with the health care team.
Career Roadmap
FUNCTION: Finance
SUB‑FUNCTION: Revenue Cycle Pre‑certification
CAREER BAND: Individual Contributor - Technical
CAREER LEVEL: T1
Additional Information
Location: Remote
Position Type: Regular
Scheduled Hours: 40
Shift: First Shift
Background Check
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post‑offer process.
Equal Opportunity Employer
The university is an equal opportunity employer, including veterans and disability.
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Insurance Verification Assistant
Department:
James | Precert and Financial Counseling
Job Description
The Pre-Certification coordinator is responsible for understanding and verifying benefits for Outpatient, Inpatient, and Ambulatory Surgery Services as well as obtaining prior authorization for visits, procedures, and hospitalizations, pre-approval, PCP referrals, and predeterminations for all electively scheduled admissions and outpatient surgeries and other designated outpatient visits. In addition, the analyst will at times contact patients/families to ascertain additional demographic and insurance information essential to the authorization processes while also informing patients of co‑pays that will be due.
Minimum Education Required
Per Classified Civil Service Specifications.
Required Qualifications
High School Diploma or GED.
PC knowledge and strong interpersonal, verbal, and written communication skills.
Minimum 6 months experience in customer service or a healthcare environment.
Preferred Qualifications
Associate's Degree and at least 1 year of experience in a Patient Revenue role at OSUWMC.
Experience with medical terminology and payer requirements.
Experience with Windows, Excel, and intranet/internet navigation tools as well as system content.
Demonstrated ability to work in multiple databases and software applications; experience using automated databases for management and reporting.
Ability to work in a self‑directed manner while interacting with consumers, physicians, and all medical center faculty and staff.
Ability to communicate clearly with the health care team.
Career Roadmap
FUNCTION: Finance
SUB‑FUNCTION: Revenue Cycle Pre‑certification
CAREER BAND: Individual Contributor - Technical
CAREER LEVEL: T1
Additional Information
Location: Remote
Position Type: Regular
Scheduled Hours: 40
Shift: First Shift
Background Check
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post‑offer process.
Equal Opportunity Employer
The university is an equal opportunity employer, including veterans and disability.
#J-18808-Ljbffr