- CoxHealth (MO)
- Description :The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical ... information for authorizations. Interprets patient medical records and reviews cases with the insurance nurse reviewer. Accurately enters information into multiple computer programs and insurance websites. Education: ▪ Required: High School Diploma or… more
- TEKsystems (Washington, DC)
- Description + Precertification is the pre-service checklist + Authorizations is setting up the auths, they would love if they have experience in Oncology, Radiation ... Prior authorization, Customer service, medical, patient information, medical terminology, precertification , insurance verification, authorizations Top Skills Details Epic, Athena… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Referral Specialist , Centralized Referrals Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and ... sleep medicine and urology. Position Summary: The Referral and Precertification Specialists manages scheduling for specialty facilities and procedures, creates… more
- Penn Medicine (Philadelphia, PA)
- …Are you living your life's work? **Job Title:** Preregistration Specialist **Department:** Ophthalmology Pathology Admin Personnel **Location:** Penn Presbyterian ... 39th Street **Hours:** Mon-Fri office hours **Summary:** + The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? Job Title: Preregistration Specialist Department: Oral Max Surgery Location: Perelman Center for Advanced Medicine-3400 ... Civic Center Blvd Hours: Full Time Summary: + The Pre-Registration Specialist reports to the Supervisor of Financial Clearence. This individual possesses an in-depth… more
- Henry Ford Health System (Troy, MI)
- The purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance authorizations for ordered procedures ... providing timely and accurate information to payors'. The Central Authorization Specialist helps drive change by identifying areas where performance improvement is… more
- Rush University Medical Center (Chicago, IL)
- …on the circumstances of each case. **Summary:** The Prior Authorization Specialist I is responsible for obtaining and resolving referral, precertification ... ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may be responsible for pre-appointment registration and insurance… more
- Vanderbilt University Medical Center (Nashville, TN)
- …hours. KEY RESPONSIBILITIES + Proficiently performs all Patient Service Specialist job responsibilities. + Facilitates pre-authorization, precertification or ... area of work. **Position Qualifications:** **Responsibilities:** **Certifications:** Patient Access Specialist Certification - Health Business Insights **Work Experience:** Relevant… more
- Fujifilm (Montpelier, VT)
- …service management. Position is called a "Senior Application Support Specialist " internally, changing toRIS (Radiology Information System) Implementation ... as well as physician decision support. + Patient Registration, precertification , authorization, data collection and screening. + Technologist process through… more
- Abbott (Plano, TX)
- …location in **Plano, TX** currently has an opportunity for a **Patient Therapy Access Specialist ** (PTA). This is an in office 5 days a week position. Preferred ... hours 8am to 5pm. As a PTA Specialist you are responsible for facilitating and assisting Abbott patients with the pre-certification, pre-determination and… more
- Bon Secours Mercy Health (Greenville, SC)
- …excellence. **Primary Function/General Purpose of Position** The Surgery Scheduling Specialist is responsible for accurately scheduling all inpatient and outpatient ... scheduled procedures and any changes to the schedule. The surgery scheduling specialist would be responsible for verifying patient benefits and precertification … more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …and keep enjoying their life. The primary function of the MRI Scheduling Specialist is to complete the pre-authorization and scheduling process for patients with ... answering questions, and providing appropriate assistance or directions. The MRI Scheduling Specialist is expected to provide the highest level of service to… more
- Brockton Hospital (West Bridgewater, MA)
- …the lives and health of our patients. Position Summary: Financial Clearance Specialist ensures all necessary information is proactively obtained and verified for ... Location: 750 W. Center Street, West Bridgewater, MA Department: Financial Clearance Specialist This is a full-time 40 hour/ week position Responsibilities: +… more
- Dartmouth Health (White River Junction, VT)
- Care Team Specialist Full Time, Days $10,000 Sign-On for Qualified Candidates! Why work as a Patient Access Representative at the Visiting Nurse and Hospice for ... Patient Access Representative: * Verifies patient insurance and obtains precertification and/or preauthorization as appropriate. * Obtains needed forms/information… more
- UCHealth (Greeley, CO)
- …Verifies eligibility and benefits; obtains authorizations for treatment or precertification of high cost drugs. Tracks referrals to ensure compliance ... with guidelines. Tracks formulary requirements. Responds to third party payors, employers, internal staff, and physician questions. Maintains information on health plan guidelines. Provides training on plan requirements. Obtains Advance Beneficiary Notice… more
- Children's Clinics (Tucson, AZ)
- …of AHCCCS, CRS, and private insurance guidelines + Knowledge of precertification , referrals, and prior authorization + Knowledge of medical terminology, CPT, ... and ICD-10 codes and practices + Skill and proficiency in using Microsoft Office Suite + Ability to maintain confidentiality of patient, personnel, and corporate data + Ability to cross reference data to assure accuracy and completeness + Ability to post… more
- WellSpan Health (Chambersburg, PA)
- …through proactive identification and investigation of issues related to precertification , reimbursement, denials, insurance availability, etc., and promptly notifies ... physician. + Thoroughly and accurately documents actions/communication surrounding discharge planning and/or utilization management in the medical record. + (BHU Only) Incorporates recovery principals into providing patient care. + (BHU Only) Effectively… more
- HCA Healthcare (Aventura, FL)
- …to join an organization that invests in you as an Inpatient Authorization Review Specialist ? At Parallon you come first. HCA Healthcare has committed up to $300 ... to make a difference. We are looking for a dedicated Inpatient Authorization Review Specialist like you to be a part of our team. **Job Summary and Qualifications**… more
- Abbott (Plano, TX)
- …location in **Plano, TX** currently has an opportunity for a **Patient Therapy Access** ** Specialist ** (PTA). This is an in office 5 days a week position. Preferred ... hours 8am to 5pm. As a PTA Specialist you are responsible for facilitating and assisting Abbott patients with the pre-certification, pre-determination and… more
- UnityPoint Health (Grinnell, IA)
- …follow patients monitoring disease status. Schedule referrals for patients with specialist or outpatient as requested by provider. Complete appropriate forms or ... health and progress as necessary. * Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms or… more
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