Pre-Service Coordinator

Job description

Work Shift Day/Evening Scheduled Weekly Hours: 40 Summary: This position supports Mercy's philosophy of patient centered care by assisting patients by communicating with insurance payors, via various methods (i.e. telephone, fax, internet) to determine eligible benefits (full coverage, medical policy determination) and acquiring pre-certification when deemed necessary by the insurance payor. Will also be responsible for communicating the liability to the patient after ensuring the pre-service process has been completed in advance of the patient's arrival for scheduled services. Job Description: Job Duties: - Prepares, validates and completes all step necessary to clear new cases for pre-scheduled services. This includes but is not limited to validating and gathering insurance and demographic information. - Interacts with insurance companies via website, phone, or fax to verify benefits, obtain authorizations, identify insurance guidelines, and facilitate communication. - Gathers information to verify benefits and benefits eligibility by utilizing the Epic system. - Completes and/or obtains all necessary authorizations for the service(s) to be performed. Works with clinical provider...