Job details

Precert & Scheduling Coord

Overview:

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Precertification and Scheduling Coordinator collaborates with referring physicians practices to obtain clinical information, verifies/intakes patient insurance information, precertification, obtains authorizations from insurance companies, and schedules appointments with patients following the policy, procedure and guidelines of the department.

Responsibilities:

Handles precertification procedures pertaining to patients by collecting insurance information and entering information into SMS.
Utilizes the Insurance Eligibility Verification system and explains process to patients.
Verifies insurance benefits/coverage by contacting insurance companies.
Obtains insurance information for precertification for procedure.
Schedules patients.
Requests and retrieves medical records and pathology reports from HUMC, other hospitals, clinics, or physician¿s offices.
Enters computer data to ensure integrity of patient history and appointment files.
Schedules all appointments for patients and provides copy of daily departmental schedule for to patient transport and security.
Collects co-pays and deductibles and posts same in the finance system following HUMC cash collection/reconciliation procedure.
Processes all requests for medical records.
Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
Adheres to the standards identified in the Medical Center's Organizational Competencies.

Qualifications:

Education, Knowledge, Skills and Abilities Required:

High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
Experience with obtaining health insurance verifications and precertification procedures.
Proficient in computer skills.
Knowledge of medical terminology.