NOW HIRING! RN PRECERTIFICATION ANALYST in Columbus, OH
Job Type: Direct
Are you considering a career change? Looking for a smaller community(25K population), that offers a low cost of living(18% lower than US average) and plenty of activities in the area but is within an hour of a large city. If so, an opportunity to work with an integrated health care system based in east central Ohio is looking for someone to join their team.
The system is a not-for-profit and has over 300 physicians and multiple outpatient care centers throughout the area.
The system is the largest provider in a six county region and a primary referral center.
It offers a higher level of service than what is typically found in a community of its size including open-heart surgery, trauma care, a Level II neonatal intermediate care unit, neurosurgery and
comprehensive cancer services.
They are proud of their rich history of serving the community and vow to continue the tradition of healing and caring with compassion, trust, innovation and excellence.
The Precertification Analyst obtains and/or verifies demographic, clinical, financial and insurance information.
The incumbent conducts online insurance eligibility/benefit verification, pre-certification/authorization, referral clearance and financial education on designated cases.
As appropriate, the incumbent notifies patient/guarantor and collects patient liabilities, and refers appropriate cases to resource counseling for follow-up and consultation, including the entry of patient/guarantor information in the patient accounting system.