Pre-Certification Coordinator

Job Summary

To ensure efficient processing of medical services and maximize reimbursement, the full-time remote Pre-Certification Coordinator will manage the pre-determination process, verify benefits with insurance companies, and maintain communication with department faculty regarding surgery schedules.

Key responsibilities

• Initiates and facilitates the pre-determination process for medical services
• Contacts insurance companies for benefit verification and pre-certification of procedures
• Maintains a daily surgery/procedure schedule and logs all pre-certifications in process

Required qualifications

• High school diploma or equivalent certification
• Two years of experience in a medical office setting
• Some college education or an associate degree is preferred
• Experience interacting with managed care plans and insurance companies
• Knowledge of medical insurance coding and pre-certification processes