Precertification Coordinator- COPC Sports, Spine & Joint, CENTRAL OHIO PRIMARY CARE, Westerville, OH
CENTRAL OHIO PRIMARY CARE -
Westerville, OH,
US
Precertification Coordinator- COPC Sports, Spine & Joint
Date Posted: 2024-06-15
Job description
Central Ohio Primary Care Physicians is seeking a Precertification Coordinator to join our COPC Sports, Spine & Joint Office located in Westerville, OH. The role is responsible for supporting the office throughout the pre-certification processes. This role will be full-time, working first shift hours Monday- Friday.
Duties and Responsibilities
Requirements:
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.