Pre-certification Coordinator 1

Scope of Position

The Revenue Cycle for The Ohio State University Wexner Medical Center is responsible for providing excellent customer service while processing patient demographic and insurance information efficiently and accurately. Areas within the Revenue Cycle include pre-registration, registration, pre-certification, financial clearance and counseling, financial assistance, scheduling, billing, claims follow-up, customer service and cash collection. The primary responsibility of staff with the Revenue Cycle is to ensure the collection of net revenue for services rendered.

Position Summary

The Pre-certification Coordinator 1 serves as the first point of contact for patients and visitors of The Ohio State University Wexner Medical Center (OSUWMC) and provides exceptional customer service while ensuring the financial viability of OSUWMC. The Pre-certification Coordinator 1 is knowledgeable in product, process or service line area (physician appointment scheduling, OR/admission, full service scheduling; pre-registration and registration; insurance verification, patient liability determination and communication). This position is responsible for providing consumers (clinical staff and patients) with accurate, up-to-date information regarding insurance benefits, and authorizations. Assures accurate appointment, demographic and insurance information is gathered to support clinical and financial needs including changes to insurance or other patient information. Provides support to physicians and customers by coordinating their requests and satisfying their needs in one transaction. Solves routine and complex customer problems and knows where to direct customers to address specific questions. Communicates regularly with clinical team, medical staff and other team members within the product/service line to ensure customer and department needs are met.

The precertification department uses a variety of tools and communication methods to obtain authorization and must be able to determine most appropriate method of contact. This includes but is not limited to electronic transactions, numerous web portals, phone calls and faxes. Flexibility and continuous ability and willingness to learn new technology as it becomes available are essential. Must be able to use a variety of software packages which include the Electronic Medical record, scheduling and registration systems, ABN, eligibility, document management software, etc.

Minimum QualificationsFor Hire:

High School Diploma or GED. PC Knowledge and interpersonal, verbal, and written communication. Minimum 6 months experience in customer service or a healthcare environment.