Precertification, Scheduling & Disability Coordinator - Physician Practice

Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Precertification, Scheduling & Disability Coordinator collaborates with referring physicians practices to obtain clinical information, verifies/intakes patient insurance information, precertification, obtains authorizations from insurance companies, and schedules appointments with patients following the policy, procedure and guidelines of the department. Responsibilities also include, the accurate and timely completion and submission of disability and/or FMLA forms, while maintaining contact, thorough documentation and providing updates to the patient, insurance company and/or employer.

Responsibilities

A day in the life of a Precertification, Scheduling & Disability Coordinator at Hackensack Meridian Health includes:

• Handles precertification procedures pertaining to patients by collecting insurance information and entering information into SMS.
• Utilizes the Insurance Eligibility Verification system and explains the process to patients.
• Verifies insurance benefits/coverage by contacting insurance companies.
• Obtains insurance information for precertification for procedures, disability and /or FMLA forms.
• Log, prepare and send disability and FMLA forms and Diligently maintain full and accurate documentation within patients accounts
• Collect and log payments for applicable forms and maintain complete documentation of such
• Field telephone calls from insurance companies, employers, adjusters and patients
• Schedules patients.
• Requests and retrieves medical records and pathology reports from HUMC, other hospitals, clinics, or physicians 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.
• Lifts a minimum of 5 lbs., pushes and pulls a minimum of 5 lbs. and stands a minimum of 4 hours a day.
• 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.

Qualifications

Education, Knowledge, Skills and Abilities Required:

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

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

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.

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility

As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.