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Pre-Cert Verification Coordinator
Oklahoma City, OK
Job Description
Overview ONE TEAM. ALL HEART. At Oklahoma Heart Hospital (OHH), patient care is at the heart of everything we do. This physician owned hospital was designed by cardiologists to ensure that patients receive expert, individualized care with utmost comfort. OHH offers a competitive benefits program to all team members from the first day of employment. Top Tier Benefit Packages: Medical, Dental, and Vision 401 (k) plan Paid Time Off (PTO) Extended Medical Benefit (EMB) **Remote Options** Training will take place on site for a timeframe-then will transition to remote based on remote expectations. This position is located: 7800 NW 85th Terrace, OKC OK 73132 Responsibilities The OHH Pre-Cert Veification Coordinator will work in a fast-paced environment this position is responsible for pre-registration of patients, to include pre-authorization, insurance verification, calculation of patient portion prior to a patient's testing or procedure and arrangements with patient for payment at time of service prior to admission to OHH and/or its clinics. Notifies Registration of any patient financial obligation for collection prior to service. Team member is responsible for communicating any potential issues surrounding pre-authorization or other pre-arrival requirements to physicians and their teams as well as others involved in the patient's care.Requires extensive contact with the insurance companies/payers, public and employees. Handles patient confidential information. Essential Functions: Obtains list of patients admitted and scheduled daily and reviews each patient account to determine action needed. Team member will work with their unit to obtain pre-auth for 100+ physicians. The team member is in direct contact with physicians, nurses and patients as well as insurance companies and their clerical or clinical staff. Obtains required insurance verification of scheduled services according to departmental guidelines a minimum of one day prior to admission or registration of services; within 24 hours of ER services. Obtains required insurance verification of weekend admissions according to departmental guidelines within 24 hours of notification of admission. Follows through on delivery of requested items to insurance company. Accepts and places calls to patients and employer groups as needed and updates information as needed. Notifies director of any consistent errors or issues. Adheres to all hospital policies and procedures. Knowledge of anatomy, physiology or medical terminology will be helpful in this position. Proven organization and time management skills are crucial. Creativity and innovation is highly encouraged. Successful applicants are passionate about helping others, are teachable, learn quickly, will exceed expectations, are solution-oriented and looking for future leadership opportunities. They handle patient confidential information and will adhere to all HIPAA expectations. Qualifications Education: High school diploma; prefer some college Experience: Minimum of 50 wpm. Candidate should have at least one (1) year of job related experience or currently work in the Health Care field. Knowledge of third party reimbursement, including Medicare, Medicaid and commercial insurance required. Excellent Customer Service background. Good investigative skills and telephone techniques. Must have solid written and verbal communication skills. Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care. Learn more about diversity at Oklahoma Heart Hospital.
The OHH Pre-Cert Veification Coordinator will work in a fast-paced environment this position is responsible for pre-registration of patients, to include pre-authorization, insurance verification, calculation of patient portion prior to a patient's testing or procedure and arrangements with patient for payment at time of service prior to admission to OHH and/or its clinics. Notifies Registration of any patient financial obligation for collection prior to service. Team member is responsible for communicating any potential issues surrounding pre-authorization or other pre-arrival requirements to physicians and their teams as well as others involved in the patient's care.Requires extensive contact with the insurance companies/payers, public and employees. Handles patient confidential information. Essential Functions: Obtains list of patients admitted and scheduled daily and reviews each patient account to determine action needed. Team member will work with their unit to obtain pre-auth for 100+ physicians. The team member is in direct contact with physicians, nurses and patients as well as insurance companies and their clerical or clinical staff. Obtains required insurance verification of scheduled services according to departmental guidelines a minimum of one day prior to admission or registration of services; within 24 hours of ER services. Obtains required insurance verification of weekend admissions according to departmental guidelines within 24 hours of notification of admission. Follows through on delivery of requested items to insurance company. Accepts and places calls to patients and employer groups as needed and updates information as needed. Notifies director of any consistent errors or issues. Adheres to all hospital policies and procedures. Knowledge of anatomy, physiology or medical terminology will be helpful in this position. Proven organization and time management skills are crucial. Creativity and innovation is highly encouraged. Successful applicants are passionate about helping others, are teachable, learn quickly, will exceed expectations, are solution-oriented and looking for future leadership opportunities. They handle patient confidential information and will adhere to all HIPAA expectations.
Education: High school diploma; prefer some college Experience: Minimum of 50 wpm. Candidate should have at least one (1) year of job related experience or currently work in the Health Care field. Knowledge of third party reimbursement, including Medicare, Medicaid and commercial insurance required. Excellent Customer Service background. Good investigative skills and telephone techniques. Must have solid written and verbal communication skills. Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care. Learn more about diversity at Oklahoma Heart Hospital.
Oklahoma Heart Hospital considers all qualified applicants regardless of protected status as defined by applicable law, including protected veteran or disability status. AA/EOE
The OHH Pre-Cert Veification Coordinator will work in a fast-paced environment this position is responsible for pre-registration of patients, to include pre-authorization, insurance verification, calculation of patient portion prior to a patient's testing or procedure and arrangements with patient for payment at time of service prior to admission to OHH and/or its clinics. Notifies Registration of any patient financial obligation for collection prior to service. Team member is responsible for communicating any potential issues surrounding pre-authorization or other pre-arrival requirements to physicians and their teams as well as others involved in the patient's care.Requires extensive contact with the insurance companies/payers, public and employees. Handles patient confidential information. Essential Functions: Obtains list of patients admitted and scheduled daily and reviews each patient account to determine action needed. Team member will work with their unit to obtain pre-auth for 100+ physicians. The team member is in direct contact with physicians, nurses and patients as well as insurance companies and their clerical or clinical staff. Obtains required insurance verification of scheduled services according to departmental guidelines a minimum of one day prior to admission or registration of services; within 24 hours of ER services. Obtains required insurance verification of weekend admissions according to departmental guidelines within 24 hours of notification of admission. Follows through on delivery of requested items to insurance company. Accepts and places calls to patients and employer groups as needed and updates information as needed. Notifies director of any consistent errors or issues. Adheres to all hospital policies and procedures. Knowledge of anatomy, physiology or medical terminology will be helpful in this position. Proven organization and time management skills are crucial. Creativity and innovation is highly encouraged. Successful applicants are passionate about helping others, are teachable, learn quickly, will exceed expectations, are solution-oriented and looking for future leadership opportunities. They handle patient confidential information and will adhere to all HIPAA expectations.
Education: High school diploma; prefer some college Experience: Minimum of 50 wpm. Candidate should have at least one (1) year of job related experience or currently work in the Health Care field. Knowledge of third party reimbursement, including Medicare, Medicaid and commercial insurance required. Excellent Customer Service background. Good investigative skills and telephone techniques. Must have solid written and verbal communication skills. Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care. Learn more about diversity at Oklahoma Heart Hospital.
Oklahoma Heart Hospital considers all qualified applicants regardless of protected status as defined by applicable law, including protected veteran or disability status. AA/EOE
Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
1 year
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