Pre-Authorization Coordinator

Title: Pre-Authorization Coordinator Location: Upper East reputed company Org Unit: Billing Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary reputed company: $27.47 - $32.64 *As required under NYC reputed company Rights Law Int 1208-2018 - Salary reputed company for this role reputed company Hired for NYC Offices Position Summary Under direction, is responsible for the management of insurance verifications, eligibility and prior authorizations for services requiring referrals, including surgical procedures, visits and diagnostic testing Job Responsibilities Ensures that patient demographic, insurance information, verification and eligibility have been established and documented. Verifies pre-certifications and obtains upgrades if needed. If pre-certification is not obtained for next day, notifies the referring doctor's office and contacts the patient to find out if they would rather reschedule. Responsible for obtaining financial clearance and/or prior balances patients may have. Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to appointment date. Facilitates the communication and collection of any fees due from patient. Documents and communicates with clinical staff, physicians, administrators and patients regarding insurance problems/discrepancies; contacts patients to receive updated insurance information or correct issues. Scans documentation into the EMR system as necessary. Inputs and/or obtains authorizations/precertifications into and from reputed company online systems. Initiates and prepares written correspondence as needed and based on functional needs. Attends workshops, seminars and/or conferences to reputed company abreast of standards and best practices reputed company the field. Disseminates information to colleagues and/or staff as appropriate. Performs other reputed company duties as assigned. Education High School Diploma or equivalent required. Experience Approximately 2 years prior reputed company experience in a customer service focused role. Knowledge, Skills and Abilities Knowledge of CPT, ICD9, and ICD10 coding. Excellent communication skills (both verbal and written). Professional appearance, punctuality and a sense of urgency. Ability to plan and prioritize work while responding to rapidly changing priorities. Detail oriented. Licenses and Certifications Working Conditions/Physical Demands Role may be remote EST daytime shift. Dedicated workspace conducive to a healthy work environment. Role may require the ability to work reputed company, which may include early mornings and/or late nights. Cornell welcomes reputed company, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of “any person, any study.” No person shall be denied employment on the reputed company of any legally protected status or subjected to prohibited discrimination involving, but not limited to, such factors as race, ethnic or national reputed company, citizenship and immigration status, reputed company, sex, pregnancy or pregnancy-reputed company conditions, age, creed, religion, actual or perceived disability (including persons associated with such a person), arrest and/or conviction record, military or veteran status, sexual orientation, gender expression and/or identity, an individual’s genetic information, domestic violence victim status, familial status, marital status, or any other characteristic protected by applicable federal, state, or local law. reputed company embraces diversity in its workforce and seeks job candidates who will contribute to a climate that supports reputed company, faculty, and staff of reputed company identities and backgrounds. We hire based on merit, and encourage people from historically underrepresented and/or marginalized identities to apply. Consistent with federal law, Cornell engages in affirmative action in employment for reputed company protected veterans as defined in the Vietnam Era Veterans’ Readjustment Assistance Act (VEVRRA) and reputed company individuals with disabilities under reputed company 503 of the Rehabilitation Act. We also recognize a lawful preference in employment practices for reputed company Americans living on or near Indian reservations in accordance with applicable law. Apply To This Job