Initiates and facilitates predetermination process
Interacts with third-party carriers
The position provides supervision and oversight of the day-to-day operations of the predetermination/precertification process, and counsels patients and/or families on options for financial assistance
Job Summary
The position provides supervision and oversight of the day-to-day operations of the predetermination/precertification process, and counsels patients and/or families on options for financial assistance.
Key responsibilities include developing and implementing policies to optimize the precertification process, interacting with patients regarding non-coverage, and working with faculty and clinical staff on financial plans.
Benefits include up to 22 days of vacation, 10 recognized holidays, sick time, competitive health insurance, a U-Pass for Metro transit, and a 403(b) Retirement Savings Plan.
Matching Summary
The position provides supervision and oversight of the day-to-day operations of the predetermination/precertification process, and counsels patients and/or families on options for financial assistance.
Salary
Base: $56,200.00 - $87,100.00 / Annually; Bonus/Equity: Not specified; Benefits: Competitive health insurance packages, retirement savings plan, tuition benefits
Skills & Requirements
Must-have
Develops and implements policy and procedures
Initiates and facilitates predetermination process
Interacts with third-party carriers
Supervises and evaluates employees
Monitors volumes through reporting
Nice-to-have
Coaching and mentorship skills
Process improvement initiatives
Excellent customer service
Time management expertise
Key Requirements
Precertification and/or medical management experience