Precertification Coordinator in Columbia, SC at LifePoint Health

Date Posted: 2/19/2021

Job Snapshot

Job Description

Providence Health

Founded as Providence Hospitals in 1938 by the Sisters of Charity of St. Augustine, Providence's two free standing full-service hospitals and numerous satellite practices maintain a true devotion to advanced clinical expertise and unmatched compassion. On February 2, 2016, Providence became part of the LifePoint Health network, and shortly thereafter, changed its name to Providence Health to better represent the full complement of its services. Driven by quality, compassion, and Christ, Providence treats the whole person- body, mind, and spirit.

Providence Health is looking for a skilled Precertification Coordinator to join their team.

Essential Functions

  • Responsible for obtaining a daily list of scheduled accounts and identifying those where an authorization is required to perform the procedure

  • Contact the payers and obtain the appropriate authorization based on member plan and requirements

  • Maintain a matrix of payers and procedures requiring authorization Contact

  • Have a detailed understanding of the major plans and be able to easily identify

  • Provide updates and feedback to the rest of the scheduling team as new information is learned related to payer requirements

  • Serve as backup to scheduling and pre-registration as needed


Job Requirements

Minimum Work Experience

Precertification or related experience

 

Minimum Education

Bachelor’sDegree preferred

Location

Downtownand Northeast Campus

 



LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans’ status or any other basis protected by applicable federal, state or local law.