Supervisor Pre-Certification (Remote) - Neurology

Job description

Scheduled Hours 40 Position Summary: Provides supervision and oversight of the day-to-day operations of the pre-determination/pre-certification process, and counsels patients and/or families on options for financial assistance. Job Description: Primary Duties & Responsibilities: Develops, implements and ensures adherence to policy and procedures to optimize the pre-certification process and minimize dollars lost to lack of pre-certification. Initiates and facilities pre-determination process. Directly interacts with patients regarding non-coverage and develops a self-pay financial plan. Works with faculty and clinical staff regarding self-pay package pricing and financial coordination plans for patients. Works with involved departments to ensure agreement with developed financial plans. Monitors volumes through reporting to ensure appropriate staffing levels. Adjusts workload distributions as needed. Interacts with representatives of major third-party carriers to resolve prior approval/pre-certification problems and discuss changes in third-party program requirements Participates in selection process of new employees, training, supervising and evaluating employees; informs employee...