Central Ohio Primary Care Physicians is seeking a Precertification Coordinator to join our COPC Sports, Spine & Joint Office located in Westerville, OH.

The role is responsible for supporting the office throughout the pre-certification processes. This role will be full-time, working first shift hours Monday- Friday.

Duties and Responsibilities

• Process routine orders in the date received in a timely manner. Identify urgent orders and process orders the same day received.
• Verify insurance eligibility, complete pre-certifications as needed.
• Compile all clinical data needed to support the criteria set forth by each payor’s guidelines.
• Communicate with the ordering provider if additional clinical clarification or information is needed before submitting request.
• Follow up on pending cases, respond to assigned telephone encounters, accurately document all activity of the case.
• Collaborate with team to distribute workload and prioritize department needs.
• Attend department and other related meetings.

Requirements :

• High School Diploma or Equivalent.
• Minimum 2 years of precertification and electronic health record experience preferred
• Excellent organization, written and communication skills.
• Punctual, dependable, positive and dedicated.
• Proficient computer skills.
• Strives daily to provide exemplary customer care to COPC's patients.

Last updated : 2024-05-21