Precertification & Scheduling Coordinator - Orthopedics - Physician Practice

PRECERTIFICATION & SCHEDULING COORDINATOR – ORTHOPEDICS – PHYSICIAN PRACTICE

Location: North Bergen, New Jersey

Requisition #:

Shift: Day

Status: Full Time with Benefits

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and support one another in a collaborative culture. The Precertification and Scheduling Coordinator collaborates with referring physician practices to obtain clinical information, verify patient insurance, obtain authorizations from insurance companies, and schedule appointments following department policies and guidelines.

• Handle precertification procedures by collecting insurance information and entering data into SMS.
• Utilize the Insurance Eligibility Verification system and explain process to patients.
• Verify insurance benefits/coverage by contacting insurance companies.
• Obtain insurance information for procedural precertification.
• Schedule patients and provide daily departmental schedule to patient transport and security.
• Collect co‑pays and deductibles and post them in the finance system following HUMC cash collection/reconciliation procedure.
• Process requests for medical records and pathology reports.
• Enter computer data to ensure integrity of patient history and appointment files.
• Identify patient population needs and modify care accordingly, including communicating with patients, parents, and primary caregivers at appropriate levels.
• Adhere to the standards identified in the Medical Center’s Organizational Competencies.

• High School diploma, GED, or equivalent.
• Experience with health insurance verifications and precertification procedures.
• Proficiency in computer skills.
• Knowledge of medical terminology.

Minimum hourly rate: $23.97. Salary depends on experience, education, and other factors.

• Labor market data and experience influence compensation.
• Education and certifications affect pay.
• Skills and geographic location considered.
• Internal equity, budget, and grant funding may impact pay.
• Eligible for performance-based incentives, bonuses, or commissions.
• Shift differentials for evening, night, or weekend shifts.

Benefits include health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

Hackensack Meridian Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, or any other protected status.

Job function: Administrative;
Industry: Hospitals and Health Care.