Pre-Authorization Coordinator

Job not on LinkedIn

🔥 0 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $29 - $32 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Cornell University

WebsiteLinkedInAll Job Openings

1 - 10 employees

📚 Education

⚕️ Healthcare Insurance

🧬 Biotechnology

Education • Healthcare Insurance • Biotechnology

Cornell University is a prestigious Ivy League institution that provides a comprehensive education in various disciplines, placing a strong emphasis on research and academic excellence. It is home to Weill Cornell Medicine, which focuses on medical education, research, and patient care, contributing significantly to the fields of healthcare and biotechnology.

📋 Description

• Responsible for the management of insurance verifications, eligibility and prior authorizations for services requiring referrals, including surgical procedures, visits and diagnostic testing. • Ensures that patient demographic, insurance information, verification and eligibility have been established and documented. • Verifies pre-certifications and obtains upgrades if needed. • Notifies the referring doctor’s office and contacts the patient if pre-certification is not obtained for next day. • Responsible for obtaining financial clearance and/or prior balances patients may have. • Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to appointment date. • Facilitates the communication and collection of any fees due from patient. • Documents and communicates with clinical staff, physicians, administrators and patients regarding insurance problems/discrepancies; contacts patients to receive updated insurance information or correct issues. • Scans documentation into the EMR system as necessary. • Inputs and/or obtains authorizations/precertifications into and from within online systems. • Initiates and prepares written correspondence as needed and based on functional needs. • Attends workshops, seminars and/or conferences to keep abreast of standards and best practices within the field. • Disseminates information to colleagues and/or staff as appropriate. • Performs other related duties as assigned.

🎯 Requirements

• High School Diploma or equivalent required. • Approximately 2 years prior related experience in a customer service focused role. • Knowledge of CPT, ICD9, and ICD10 coding. • Excellent communication skills (both verbal and written). • Professional appearance, punctuality and a sense of urgency. • Ability to plan and prioritize work while responding to rapidly changing priorities. • Detail oriented.