• Pre Certification Analyst I

    ProMedica Health System (Toledo, OH)


    Location:

    Remote - Downtown

    Department:

    System Scheduling And Monroe CBO

    Weekly Hours:

    40

    Status:

    Full time

    Shift:

    Days (United States of America)

    Job Summary:

    The Pre-Certification Analyst plays a vital role in ensuring patients receive needed medical services while following insurance policies and regulations.

     

    You will review payer authorization guidelines and assign coding for professional services.

     

    In this role, you will create a pre-service price estimate and inform the patient of their potential out-of-pocket financial responsibilities.

     

    The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive.

    REQUIREMENTS

    + High School diploma or equivalent

    PREFERRED REQUIREMENTS

    + 1 year experience in patient registration, billing, or customer service

    **ProMedica** is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica, please visit promedica.org/aboutus (https://www.promedica.org/Pages/about-us/default.aspx) .

    Benefits:

    We provide flexible benefits that include compensation and programs to help you take care of your family, your finances and your personal well-being. It’s what makes us one of the best places to work, and helps our employees live and work to their fullest potential.

     

    Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact **[email protected]**

     

    Equal Opportunity Employer/Drug-Free Workplace