Pre-Certification Coordinator

Job Summary

To ensure efficient medical/surgical and diagnostic services while maximizing reimbursement, the full-time remote Pre-Certification Coordinator will manage the pre-determination process, verify benefits with insurance companies, and maintain communication with medical staff regarding scheduling.

Key responsibilities

• Initiates and facilitates the pre-determination process for surgical and nonsurgical procedures
• Contacts insurance companies for benefit verification and pre-certification, notifying financial counselors as needed
• Maintains a log of pre-certifications and communicates with the hospital's utilization/billing department

Required qualifications

• High school diploma or equivalent certification
• Two years of experience in a medical office setting
• Preferred: Associate degree
• Preferred: Certified Professional Coder (CPC) or Registered Health Information Technician (RHIT) certification