[Hiring] Precertification Coordinator @U.S. Urology Partners

Role Description

To support U.S Urology by providing claims processing and precertification for the organization.

• Coordinates authorizations and benefits with third parties for visits, procedures, surgeries, medications, imaging, lab, and any other treatments that are ordered.
• Verifies eligibility and requests authorizations for various medical orders.
• Calculates, communicates with patients, and collects co-pays, deductibles, co-insurance, previous balances, or other money owed.
• Maintains files for contacts and phone numbers for third party communication.
• Prepares and sends Good Faith Estimates to self-pay patients in accordance with the No Surprises Act.
• Handles problem referrals with third party and coordinates solution with clinical unit, patient, and referral provider.
• Coordinates with physician, clinical staff, insurances, and patients to obtain the authorization.
• Other duties as assigned.

Qualifications

• Two (2) years of experience in Precertification in a medical practice or medical organization (will substitute educational experience for on-the-job experience).
• Excellent verbal and written communication skills.
• Benefits or claims processing skills and electronic medical records experience.
• Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Computer Skills: To perform this job successfully, an individual should have thorough knowledge in computer information systems.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Benefits

• Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental, and vision plans.
• HSA / FSA.
• 401(k) matching.
• Employee Assistance Program (EAP).
• And more.

Company Description

U.S. Urology Partners is one of the nation’s largest independent providers of urology and related specialty services, including general urology, surgical procedures, advanced cancer treatment, and other ancillary services.

• Through Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U.S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery.
• U.S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy.
• U.S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws.
• Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities, and general treatment during employment.