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Job Title:

Precertification Coordinator I

Department:

James | Precert and Financial Counseling

Scope of Position

The Ohio State University Health System is committed to improving access and service to customer. The Pre-Certification position functions as an integral member of the health care team to reflect a culture of cooperation, enthusiasm, and mutual respect. This position ensures the coordination of the insurance verification and precertification process for all outpatient procedures, inpatient admissions, and other designated services for patients to The Ohio State University Health System. 

Position Summary

The Pre-Certification coordinator responsibilities include understanding and verifying benefits for Outpatient, Inpatient and Ambulatory Surgery Services as well as obtaining prior authorizations. In addition, the analyst will at times contact patients/families to ascertain additional demographic and insurance information essential to the authorization processes while also informing patients of co-pays that will be due. 

Minimum Qualifications

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

Preferred: Associate degree and at least 1 year experience in a Patient Revenue role at OSUWMC. Experience with medical terminology and payer requirements preferred. Experience with Windows, Excel, and intranet/internet navigation tools as well as system content. Demonstrated ability to work in multiple databases and software applications; experience using automated databases for management and reporting. Ability to work in self-directed manner while interacting with consumers, physicians and all medical center faculty and staff. Ability to communicate clearly with health care team. 

Career Roadmap

FUNCTION: Finance

SUB-FUNCTION: Revenue Cycle Pre-certification

CAREER BAND: Individual Contributor - Technical

CAREER LEVEL: T1

Additional Information:

Location:

Polaris Pkwy, 2001 (0836)

Position Type:

Regular

Scheduled Hours:

40

Shift:

First Shift

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.

The Ohio State University is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity or expression, genetic information, HIV/AIDS status, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status, or any other basis under the law.

Applicants are encouraged to complete and submit the Equal Employment Identification form.