Precertification Coordinator

Your future role at a glance

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Facility

Department/Specialty

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: pro-rated paid time off (PTO) and holidays
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

How you'll make an impact in this role

Coordinate with physician offices and insurance companies in obtaining authorization for all hospital admissions.

• Obtain authorization for admissions as required by health plans.
• Enter patient insurance authorizations and any pertinent information from insurance company into the patient account history. Document insurance coverage of services to be provided.
• Notify case management about interactions with insurance companies regarding services. Manage denials or potential denials as described by insurer.
• Monitor and review applicable schedule to ensure that authorization and initial length of stay is obtained and on file.
• What minimum qualifications you'll need

• 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.
• Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Coordinate with physician offices and insurance companies in obtaining authorization for all hospital admissions.

• Obtain authorization for admissions as required by health plans.
• Enter patient insurance authorizations and any pertinent information from insurance company into the patient account history. Document insurance coverage of services to be provided.
• Notify case management about interactions with insurance companies regarding services. Manage denials or potential denials as described by insurer.
• Monitor and review applicable schedule to ensure that authorization and initial length of stay is obtained and on file.