Precertification & Scheduling Coordinator - Health And Wellness Center

Overview

Precertification & Scheduling Coordinator - Health and Wellness Center

HMH PHYSICIAN SERVICES, INC. Iselin, New Jersey

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• Requisition #
• Shift: Day
• Status:
  Full Time with Benefits

The Precetification and Scheduling Coordinator collaborates with referring physician practices to obtain clinical information, verifies/intakes patient insurance information, handles precertification, obtains authorizations from insurance companies, and schedules appointments with patients following the policy, procedure and guidelines of the department.

• Handles precertification procedures pertaining to patients by collecting insurance information and entering information into SMS.
• Utilizes the Insurance Eligibility Verification system and explains process to patients.
• Verifies insurance benefits/coverage by contacting insurance companies.
• Obtains insurance information for precertification for procedures.
• Schedules patients.
• Requests and retrieves medical records and pathology reports from HUMC, other hospitals, clinics, or physician's offices.
• Enters computer data to ensure integrity of patient history and appointment files.
• Schedules all appointments for patients and provides copy of daily departmental schedule for patient transport and security.
• Collects co-pays and deductibles and posts same in the finance system following HUMC cash collection/reconciliation procedure.
• Processes all requests for medical records.
• Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
• Adheres to the standards identified in the Medical Center's Organizational Competencies.

Education,

Knowledge, Skills and Abilities Required:

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

Minimum rate of $22.77 Hourly

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

HACKENSACK MERIDIAN HEALTH (HMH) 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, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.

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Hackensack Meridian Health is a Mandatory Influenza Vaccination Facility.