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
Minimum Work Experience
Precertification or related experience
Minimum Education
Bachelor’sDegree preferred
Location
Downtownand Northeast Campus