Job Description

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Job Title:
Insurance Verification Assistant

Department:
James | Precert and Financial Counseling

Job Description
The Pre-Certification coordinator is responsibilities include understanding and verifying benefits for Outpatient, Inpatient and Ambulatory Surgery Services as well as obtaining prior authorization for visits, procedures and hospitalizations, pre-approval, pcp referrals, and predeterminations for all electively scheduled admissions and outpatient surgeries and other designated outpatient visits. In addition, the analyst will at times contact patients/families in order to ascertain additional demographic and insurance information essential to the authorization processes while also informing patients of co-pays that will be due.


Minimum Education Required
Per Classified Civil Svc Specs

Required Qualifications
Required: Per CCS Class Specs: High School Diploma or GED. PC Knowledge and interpersonal, verbal, and written communication. Minimum 6 months experience in customer service or a healthcare environment.

Preferred: Associates Degree and at least 1 year experience in a Patient Revenue role at OSUWMC. Experience with medical terminology and payer requirements preferred. Experience with Windows, Excel, and intranet/internet navigation tools as well as system content.
Demonstrated ability to work in multiple databases and software applications; experience using automated databases for management and reporting. Ability to work in self-directed manner while interacting with consumers, physicians and all medical center faculty and staff. Ability to communicate clearly with health care team.

Career Roadmap:

FUNCTION: Finance

SUB-FUNCTION: Revenue Cycle Pre-certification

CAREER BAND: Individual Contributor - Technical

CAREER LEVEL: T1

Additional Information:

Location:
Remote Location

Position Type:
Regular

Scheduled Hours:
40

Shift:
First Shift

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.

The university is an equal opportunity employer, including veterans and disability.

Job Tags

Remote work, Shift work, Day shift

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