Recertification Coordinator

Company: Providence Health
Location: West Columbia
Posted on: June 12, 2021

Job Description:

Providence Health

Founded as Providence Hospitals in 1938by the Sisters of Charity of St. Augustine, Providence's two free standing full-service hospitals and numerous satellite practices maintain a true devotion to advanced clinical expertise and unmatched compassion. On February 2, 2016, Providence became part of the LifePoint Health network, and shortly thereafter, changed its name to Providence Health to better represent the full complement of its services. Driven by quality, compassion, and Christ, Providence treats the whole person- body, mind, and spirit.

Providence Health is looking for a skilled Precertification Coordinator to join our team

Essential Functions

Responsible for obtaining a daily list of scheduled accounts and identifying those where an authorization is required to perform the procedure Contact the payers and obtain the appropriate authorization based on member plan and requirements Maintain a matrix of payers and procedures requiring authorization Contact Have a detailed understanding of the major plans and be able to easily identify Provide updates and feedback to the rest of the scheduling team as new information is learned related to payer requirements Serve as backup to scheduling and pre-registration as needed

Job Requirements:

Minimum Work Experience

Precertification or related experience

Minimum Education

Bachelors Degree preferred

Required Skills

Ability to read and understand payer contracts, provider manuals, and online resources.

Ability to work individually or in a team structure.

Must be able to work under stress of high call volumes and maintain exceptional customer service skills.

Must be flexible and able to work well under pressure to meet deadlines

Location

Downtown and Northeast Campus

LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans status or any other basis protected by applicable federal, state or local law.

Keywords: Providence Health, Columbia , Recertification Coordinator, Other , West Columbia, South Carolina