Job Description

Title: Pre-Authorization Coordinator

Location: Upper East Side

Org Unit: Clinical Operations

Work Days: Monday-Friday

Weekly Hours: 35.00

Exemption Status: Non-Exempt

Salary Range: $29.89 - $32.69

*As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices

Under direction, is responsible for the management of insurance verifications, eligibility and prior authorizations for services requiring referrals, including surgical procedures, visits and diagnostic testing

Job Responsibilities

Ensures that patient demographic, insurance information, verification and eligibility have been established and documented.
Verifies pre-certifications and obtains upgrades if needed. If pre-certification is not obtained for next day, notifies the referring doctor's office and contacts the patient to find out if they would rather reschedule.
Responsible for obtaining financial clearance and/or prior balances patients may have.
Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to appointment date. Facilitates the communication and collection of any fees due from patient.
Documents and communicates with clinical staff, physicians, administrators and patients regarding insurance problems/discrepancies; contacts patients to receive updated insurance information or correct issues.
Scans documentation into the EMR system as necessary. Inputs and/or obtains authorizations/precertifications into and from within online systems.
Initiates and prepares written correspondence as needed and based on functional needs.
Attends workshops, seminars and/or conferences to keep abreast of standards and best practices within the field. Disseminates information to colleagues and/or staff as appropriate.
Performs other related duties as assigned.

Education

High School Diploma or equivalent required.

Experience

Approximately 2 years prior related experience in a customer service focused role.

Knowledge, Skills and Abilities

Knowledge of CPT, ICD9, and ICD10 coding.
Excellent communication skills (both verbal and written).
Professional appearance, punctuality and a sense of urgency.
Ability to plan and prioritize work while responding to rapidly changing priorities.
Detail oriented.

Licenses and Certifications

Working Conditions/Physical Demands

Role may be remote EST daytime shift. Dedicated workspace conducive to a healthy work environment.

Role may require the ability to work flexible hours, which may include early mornings and/or late nights.

Cornell welcomes students, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of “any person, any study.” No person shall be denied employment on the basis of any legally protected status or subjected to prohibited discrimination involving, but not limited to, such factors as race, ethnic or national origin, citizenship and immigration status, color, sex, pregnancy or pregnancy-related conditions, age, creed, religion, actual or perceived disability (including persons associated with such a person), arrest and/or conviction record, military or veteran status, sexual orientation, gender expression and/or identity, an individual’s genetic information, domestic violence victim status, familial status, marital status, or any other characteristic protected by applicable federal, state, or local law.

Cornell University embraces diversity in its workforce and seeks job candidates who will contribute to a climate that supports students, faculty, and staff of all identities and backgrounds. We hire based on merit, and encourage people from historically underrepresented and/or marginalized identities to apply. Consistent with federal law, Cornell engages in affirmative action in employment for qualified protected veterans as defined in the Vietnam Era Veterans’ Readjustment Assistance Act (VEVRRA) and qualified individuals with disabilities under Section 503 of the Rehabilitation Act. We also recognize a lawful preference in employment practices for Native Americans living on or near Indian reservations in accordance with applicable law.

About Weill Cornell Medicine

Weill Cornell Medicine is committed to excellence in patient care, scientific discovery and the education of future physicians and scientists in New York City and around the world.

The doctors and scientists of Weill Cornell Medicine — faculty from Weill Cornell Medical College, Weill Cornell Graduate School of Medical Sciences, and Weill Cornell Physician Organization—are engaged in world-class clinical care and cutting-edge research that connect patients to the latest treatment innovations and prevention strategies.

Located in the heart of the Upper East Side's scientific corridor, Weill Cornell Medicine's powerful network of collaborators extends to its parent university Cornell University; to Qatar, where Weill Cornell Medicine-Qatar offers a Cornell University medical degree; and to programs in Tanzania, Haiti, Brazil, Austria, and Turkey. Weill Cornell Medicine faculty provide comprehensive patient care at NewYork-Presbyterian/Weill Cornell Medical Center, NewYork-Presbyterian Lower Manhattan Hospital, and NewYork-Presbyterian Queens. Weill Cornell Medicine is also affiliated with Houston Methodist.

At Weill Cornell Medicine, we connect the collective power of our integrated partners in education and research to provide world-class care for our individual patients—#CareDiscoverTeach.

Industry

Healthcare & Social Services

Company Size

10,000+ employees

Headquarters

New York, NY

Year Founded

1898

Website

cornell.edu

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