Precertification Coordinator

Ascension Health Glendale , WI 53212

Posted 1 week ago

Details

  • Department: Revenue Cycle

  • Schedule: Full-time /Days/M-F

  • Location: Remote

Benefits

Paid time off (PTO)

Various health insurance options & wellness plans

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

  • Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics.

Responsibilities

Coordinate with physicians offices and insurance companies in obtaining authorization for all hospital admissions.

  • Obtain authorization on for admissions as required by health plans.

  • Enter patient insurance authorizations and any pertinent information from insurance company into the patient account history.

  • Documents insurance coverage of services to be provided.

  • Notifiy case management about interactions with insurance companies regarding services.

  • Manage denials or potential denials as described by insurer.

  • Monitor and review applicable schedule to ensure that authorization and initial length of stay is obtained and on file.

Requirements

Education:

  • High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.

  • Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Additional Preferences

Prior insurance authorization and/or Epic experience a plus.

Google Office and personal computer skills

Interpersonal skills to communicate effectively, verbally and in writing

Eye and hand coordination is necessary

Excellent communication and customer service skills

Works calmly and effectively when challenged

Why Join Our Team

Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities that allow you to create a career path you love, all while delivering compassionate, personalized care to the communities we serve.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.


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