Pre Certification Assistant COPC Sports, Spine & Joint
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Job Location:
Westerville, OH - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
This position works to obtain approvals for orders by submitting completed clinical information to insurance companies and their vendors.
- Full Time/Benefits Eligible
- Monday-Friday - 8:00am-4:30pm
- Westerville OH
ESSENTIAL FUNCTIONS AND RESPONIBILITIES:
- Process routine orders in the date received in a timely manner. Identify urgent orders and process orders the same day received.
- Verify insurance eligibility complete pre-certifications as needed.
- Compile all clinical data needed to support the criteria set forth by each payors guidelines.
- Communicate with the ordering provider if additional clinical clarification or information is needed before submitting request.
- Follow up on pending cases respond to assigned telephone encounters accurately document all activity of the case.
- Collaborate with team to distribute workload and prioritize department needs.
- Attend department and other related meetings.
QUALIFICATIONS:
- Required: High school diploma
- Preferred: Some college courses
- Preferred: Minimum 2 years Pre-certification experience in a healthcare setting.
Knowledge Skills & Abilities
- Excellent verbal & written communication skills
- Knowledge of Microsoft Teams Word Excel and Outlook
- Ability to execute job duties with precision and attention to detail
- Ability to work both independently and together as a team
- Ability to prioritize and organize work efficiently to complete work timely
- Ability to accommodate and embrace ongoing change in systems insurance guidelines and process
- Strong time management skills
- Possess a positive attitude
- Possess strong problem solving critical thinking skills
Required Experience:
Junior IC
About Company
Central Ohio Primary Care is the largest physician-owned primary care group in the United States. We have a broad team of over 350 internists, family physicians, pediatricians, and specialists serving Columbus and other Central Ohio locations.
