Insurance Verification Assistant
Ohio State University, Columbus, OH, United States
Insurance Verification Assistant
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 in order 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 Svc Specs
Required Qualifications Required: Per CCS Class Specs: High School Diploma or GED. PC Knowledge and interpersonal, verbal, and written communication. Minimum 6 months experience in customer service or a healthcare environment.
Preferred: Associates Degree and at least 1 year experience in a Patient Revenue role at OSUWMC. Experience with medical terminology and payer requirements preferred. 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 self-directed manner while interacting with consumers, physicians and all medical center faculty and staff. Ability to communicate clearly with health care team.
FUNCTION: Finance
SUB-FUNCTION: Revenue Cycle Pre-certification
CAREER BAND: Individual Contributor - Technical
CAREER LEVEL: T1
Location:
Polaris Pkwy, 2001 (0836)
Position Type:
Regular
Scheduled Hours:
40
Shift:
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
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 in order 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 Svc Specs
Required Qualifications Required: Per CCS Class Specs: High School Diploma or GED. PC Knowledge and interpersonal, verbal, and written communication. Minimum 6 months experience in customer service or a healthcare environment.
Preferred: Associates Degree and at least 1 year experience in a Patient Revenue role at OSUWMC. Experience with medical terminology and payer requirements preferred. 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 self-directed manner while interacting with consumers, physicians and all medical center faculty and staff. Ability to communicate clearly with health care team.
FUNCTION: Finance
SUB-FUNCTION: Revenue Cycle Pre-certification
CAREER BAND: Individual Contributor - Technical
CAREER LEVEL: T1
Location:
Polaris Pkwy, 2001 (0836)
Position Type:
Regular
Scheduled Hours:
40
Shift:
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.