Precertification Specialist- Remote Jobs

Location

Flushing, New York

Shift:

Day (United States of America)

Description:

Discover Where Amazing Works!

Precertification Specialist-Medical Group-Queens- REMOTE.

Monday-Friday 9:00am-5:00pm

NewYork-Presbyterian Medical Groups (NYPMG) are part of the physician enterprise of NewYork-Presbyterian, one of the nation’s most comprehensive academic health care delivery systems affiliated with two world-renowned medical schools. Through primary care and multispecialty medical practices, the physicians and other health care professionals of NYPMG, in collaboration with ColumbiaDoctors and Weill Cornell Physicians, provide families with high quality, patient-centered care close to home in the New York metropolitan area.

Review work buckets/queue in Electronic Medical Records for authorization of test, medication and surgeries. Work with providers staff to update insurance information, diagnosis codes and procedure codes.

Verifies eligibility and obtains authorizations via the internet, telephone and/or fax for the practices and hospital facility as appropriate

Accurate utilization of practice report generated through the scheduling software to perform insurance verification and authorizations.

Maintain patient chart note with up to date and accurate data for insurance authorization, denials and peer-to-peer requests.

Adheres to the process set forth by the practice of notifying all pertinent staff members of insurance authorizations denials and peer-to-peer requests.

Represent the practice as the initial contact by establishing and maintaining positive customer relations.

Performs other related duties as required.

Preferred Criteria:

• Bachelor’s Degree

Required Criteria:

• High School Diploma or GED
• Minimum of 1-year job related experience must have knowledge of insurance verification, obtaining insurance pre-certification.

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, diversity, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.
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• 2020 "Best Workplace for Men in Nursing" - American Association for Men in Nursing
• 2021 "Employees' Choice Awards: Best Places to Work" - Glassdoor
• Discover why at: nyp.org/careers
• 2020 "Working Mother 100 Best Companies" - Working Mother
• 2021 " Best Workplaces in Health Care & Biopharma" - Fortune
• 2020 "Best Companies for Multicultural Women" - Working Mother
• 2020 "America's Best Employers in New York State" - Forbes

NewYork-Presbyterian Hospital is an equal opportunity employer.

Salary Range:

It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.