Precertification Coordinator

• Location: Glendale, WI

• Facility: Remote

• Department: Revenue Cycle

• Schedule: Day Shift | Full-time

• Obtains authorization on for admissions as required by health plans.
• Enters patient insurance authorizations and any pertinent information from insurance company into the patient account history. Documents insurance coverage of services to be provided.
• Notifies case management about interactions with insurance companies regarding services. Manages denials or potential denials as described by insurer.
• Monitors and reviews applicable schedule to ensure that authorization and initial length of stay is obtained and on file.

Licensure / Certification / Registration

• Required Credential(s):
  • None Required.

Education

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. *Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.