The Precert-Preauth Coordinator is responsible for multiple facets of patient financial account services within the practice; including but not limited to patient benefit assessment, insurance verification, pre-certification, pre-authorizations, pre-determination for services, and referrals management. The position requires a thorough understanding of office-management software and a good working knowledge of medical/surgical clinical procedures, claims procedures and insurance company regulations. Requires accuracy, attention to detail and ability to communicate well with physicians, staff, patients and provider representatives of insurance companies.
Education: High school graduate or equivalent.
Experience: Two year minimum experience working with healthcare insurance, billing and coding.
Certifications: Computer skills: word processing, spreadsheet (Word, Excel), EPIC. Excellent written and verbal communication skills. Knowledge of current coding for CPT/ICD-10/HCPS. Medical terminology.
Preferred Certifications: Certification as Coding Specialist preferred.
From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.