The Pre-Certification Coordinator provides support to the surgical poster in communicating with the insurance companies to ensure proper certification/authorization is obtained prior to surgery as well as the communication and pre-collection of the patient’s financial responsibility.

Primary Duties & Responsibilities:

• Obtains verification of insurance coverage and authorization from primary care office for clinical visits and surgical procedures.

• Alerts Surgical Posters and Site Managers of scheduling errors.

• Consistently pre-certs all procedures on assigned physician's schedules 2 weeks in advance.

• (ASC procedures, office injections, and hospital procedures).

• Alerts appropriate staff of financial responsibilities > $200 for patients.

• Communicates patient financial responsibility to the patient prior to the appointment and takes pre-collection payments.

• Communicates necessary patient financial information with appropriate office and billing personnel in an efficient, timely, and accurate manner.

• Documents, within the practice management system, all required information to include financial responsibility.

• Scans all referrals into EMR and links the referrals to the appointment in Allscripts PM.

• Perform other office duties as assigned by manager.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without notice.

Qualifications:

• Minimum High School Diploma or GED required.

• Minimum of two (2) years Pre-Certification, Medical Front Office, or Medical Billing experience.

Tech Requirements for the Job

• High-speed, reliable internet connection to ensure uninterrupted communication and access to necessary systems and tools.

• Quiet and private work environment to maintain the confidentiality of patient information and minimize background noise during calls.

• Proficiency in using remote collaboration tools, such as video conferencing software, instant messaging platforms, and customer relationship management systems.

• Compliance with all security and privacy policies and protocols, including safeguarding patient information and maintaining HIPAA compliance.

Job Type: Full-Time

Pay Range: $21.50 - $23.50 per hour

Actual compensation offered to candidates is based on work experience, education, skill level, and geographic location. Compensation may vary depending on the state or region in which the position is located, in accordance with applicable laws.

This position has no close date. Applications will be accepted until an offer has been extended and accepted.

Equal Opportunity Employer: Our Practice is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, age, sex, national origin, disability, veteran status, or sexual orientation.

The successful candidate(s) for any UUG position will be subject to a pre-employment background check.