Precertification Assistant
Job description
Central Ohio Primary Care Physicians is seeking a Precertification to join our Precertification Department located in Westerville, OH. The department staff is responsible for supporting all COPC providers throughout the pre-certification processes. This role will be full-time, 7:30a-4p, Monday- Friday and one day 9:30a-6p.
Duties and Responsibilities
- 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 payor’s 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.
Requirements:
- High School Diploma or Equivalent.
- Minimum 2 years of precertification and electronic health record experience preferred
- Ability to work in a fast-paced environment while following policies and procedures accordingly.
- Excellent organization, written and communication skills.
- Punctual, dependable, positive and dedicated.
- Proficient computer skills.
- Strives daily to provide exemplary customer care to COPC's patients.
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