Job summary
Job post source
This job is directly from Tufts Medicine
Job overview
The Pre-Certification & Authorization Coordinator role at Tufts Medicine focuses on revenue cycle operations and patient access duties to facilitate clinical service procurement, primarily supporting billing, collections, and insurance verification in a remote, entry-level capacity.
Responsibilities and impact
The coordinator will verify insurance benefits, collect patient demographic and financial data, schedule services, handle referrals, obtain precertification approvals, communicate financial risks, collaborate with departments on financial concerns, track case statuses, manage denied claims, and assist in training new team members.
Experience and skills
Requires a high school diploma or equivalent with two years of related experience in hospital, physician office, or financial services; preferred qualifications include an associate's degree and five years of experience. Skills needed include knowledge of medical terminology, ICD-10 and CPT coding, insurance precertification processes, computer proficiency, strong communication, organizational skills, and customer service abilities.
Work environment and culture
Tufts Medicine values diversity and inclusion, offers a fully remote work environment, and fosters a positive team-oriented atmosphere with a focus on patient service and collaboration.
Company information
Tufts Medicine is a leading integrated health system in Massachusetts comprising multiple hospitals, home care networks, and a large physician network, committed to delivering connected and accessible healthcare.
Job location and travel
This is a fully remote position with occasional local travel to hospital sites requiring a valid driver's license.
Unique job features
The role is distinguished by its fully remote setup, involvement in multi-faceted projects, and opportunities to learn and adapt to real-time workflow changes within a major integrated health system.
Company overview
Tufts Medicine is a healthcare organization based in Massachusetts, providing comprehensive medical services through its network of hospitals, clinics, and specialized care centers. They generate revenue through patient services, medical procedures, and partnerships with insurance companies. The organization has a rich history, including its affiliation with Tufts University School of Medicine, which enhances its research and educational capabilities. Notably, Tufts Medicine is known for its commitment to innovative healthcare solutions and community-focused care.
How to land this job
Position your resume to emphasize your experience with revenue cycle operations, including billing, collections, payment processing, and patient access duties such as financial clearance and scheduling services.
Highlight your knowledge of insurance verification, precertification processes, and familiarity with medical terminology, ICD-10, CPT coding, and electronic medical record systems.
Apply through multiple channels including Tufts Medicine's official careers website and LinkedIn to maximize your application visibility for this remote role.
Connect with current employees in the Patient Access or Revenue Cycle divisions on LinkedIn; use ice breakers like asking about recent workflow updates or how the team navigates insurance verification challenges.
Optimize your resume for ATS by incorporating keywords from the job description such as 'precertification,' 'insurance verification,' 'patient access,' 'medical terminology,' and 'revenue cycle operations' to pass initial screenings.
Utilize Jennie Johnson's Power Apply feature to automate tailored applications, identify all relevant job portals, and find LinkedIn connections, allowing you to focus your energy on preparing for interviews and networking.
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