Precertification Coordinator in Columbia, SC at Providence Health
Posted on: 27 Jan 2021
Columbia, SC
Job Description
Job Description
Providence Health
Founded as Providence Hospitals in 1938 by the Sisters of Charity of St. Augustine, Providence's two free standing full-service hospitals and numerous satellite practices maintain a true devotion to advanced clinical expertise and unmatched compassion. On February 2, 2016, Providence became part of the LifePoint Health network, and shortly thereafter, changed its name to Providence Health to better represent the full complement of its services. Driven by quality, compassion, and Christ, Providence treats the whole person- body, mind, and spirit.
Providence Health is looking for a skilled Precertification Coordinator to join their team.
Essential Functions
* Responsible for obtaining a daily list of scheduled accounts and identifying those where an authorization is required to perform the procedure
* Contact the payers and obtain the appropriate authorization based on member plan and requirements
* Maintain a matrix of payers and procedures requiring authorization Contact
* Have a detailed understanding of the major plans and be able to easily identify
* Provide updates and feedback to the rest of the scheduling team as new information is learned related to payer requirements
* Serve as backup to scheduling and pre-registration as needed
Job Requirements
Minimum Work Experience
Precertification or related experience
Minimum Education
BachelorsDegree preferred
Location
Downtownand Northeast Campus
LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans status or any other basis protected by applicable federal, state or local law.
LifePoint Health, Inc.
Brentwood, TN
Across our network and at our Health Support Center, we are united by a shared mission and vision, core values and guiding principles that drive everything we do and inform our approach to patient care, quality and how we do busine. We know that to achieve our vision of creating places where people choose to come for healthcare, physicians want to practice and employees want to work, we must organize around the right strategies. At LifePoint, our strategies are simple and enduring.
Our Operating Groups
LifePoint's facilities and practices are divided into four operating divisions: Eastern, Central, Mountain and Western. Each of these divisions has a leadership team that mirrors a hospital's leadership team, including a president and dedicated physician and provider leadership resources.
Our Health Support Center
Our Health Support Center (HSC), in Brentwood, Tennessee, has subject matter expertise in every area of healthcare operations and provider services. The HSC is organized to bring resources to bear across the continuum of care, from before a patient accesses healthcare services to after they are sent home, while keeping quality and compliance at the center.
On a daily basis, our group leaders and subject matter experts are working with our local markets to help develop and implement the right strategies that ensure healthcare thrives in their communities.
Our Physicians
Physicians are a critical access point to care in our communities. We work to build and maintain collaborative relationships with both our employed physicians and a broad network of affiliated providers, and we provide a full spectrum of practice management and physician support to help secure the delivery of quality care today and for the future.
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IndustryHealthcare
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No. of Employees60,000+
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Website
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Jobs Posted13300
