Pre-Certification Coordinator

Job Summary

A company is looking for a Pre-Certification Coordinator for the Business Office in the Medicine department.

Key Responsibilities:

• Initiate and facilitate predetermination process
• Contact insurance companies for benefit verification and pre-certification of procedures
• Maintain surgery/procedure schedule, document pre-certifications, and communicate with internal and external stakeholders

Required Qualifications:

• High school diploma or equivalent
• Three to five years of experience in a medical office setting
• Some college or associate degree preferred
• RHIT and/or CPC certification, coding experience desired
• Experience with managed care plans, insurance companies, and third-party payers beneficial