- Parkview Health (Fort Wayne, IN)
- …seamless manner. Responsible for creating and installing systems to obtain precertification and recertification for payment and utilization review. Attends treatment ... planning to advise regarding reimbursement issues. Education Requires a Diploma in Nursing or an Associate of Science in Nursing (ASN); Bachelor of Science in Nursing (BSN) preferred. Licensure/Certification Current Indiana RN license. CPI required upon hire… more
- Trinity Health (Darby, PA)
- …patient. Assists Social Work with obtaining authorization for services requiring precertification . Also collaborates with Social Work to ensure appropriate primary ... care and specialist physician follow up. Collaborates with the ED healthcare team to determine the treatment plan, while observing quality and patient safety… more
- Atlantic Health System (Morristown, NJ)
- …plan of care. Assists with referrals of patients to the appropriate specialist for diagnosis or treatment. Performs other related duties as assigned. Schedule: ... Certification CCMA from: NHA, AAMA, NAHP, ARMA, AMT, AMCA, or NCCT. OR Precertification agreement must be signed if expired or receiving certification within 60 days… more
- OU Health (Oklahoma City, OK)
- …be involved in the staff training and development of the billing specialist team. Essential Functions/Duties: Responsibilities listed in this section are core to ... the billing staff. Continually monitors and evaluates insurance verification and precertification procedures. Works closely with outside agencies in helping patients… more
- Atlantic Health System (Morristown, NJ)
- …plan of care. 8. Assists with referrals of patients to the appropriate specialist for diagnosis or treatment. 9. Performs other related duties as assigned. ... Certification CCMA from: NHA, AAMA, NAHP, ARMA, AMT, AMCA, or NCCT. OR Precertification agreement must be signed if expired or receiving certification within 60 days… more
- Saint Luke's (Kansas City, MO)
- **Job Description** The Precertification Specialist is responsible for obtaining prior authorizations/pre-certifications, as required by third party payers, for ... as assigned to support the transplant financial team. + Obtains precertification /prior authorizations for pre and post transplant testing and prescriptions ordered… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? Job Title: Preregistration Specialist Department: Financial Clearance Location: Centre Square West Tower - 1500 Market ... Street Hours: Full Time Summary: + The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual possesses an in-depth knowledge… more
- Trinity Health (Columbus, OH)
- …Type:** Full time **Shift:** Day Shift **Description:** **Patient Financial Specialist - Radiation Oncology** **Position Purpose:** The Patient Financial ... Specialist III performs all the functions of a PFS...PFS III performs verification of prior authorization and obtaining precertification for selected scheduled services. Also, this staff member… more
- Baptist Memorial (Memphis, TN)
- …resource consumption and reimbursement. * Precertifies patient care services that require precertification , as identified, in a timely, efficient manner, in order to ... performance improvement activities in order to maximize the patient placement/ precertification process. * Completes assigned goals. Specifications Experience Description… more
- Baptist Memorial (Columbus, MS)
- …resource consumption and reimbursement. + Precertifies patient care services that require precertification , as identified, in a timely, efficient manner, in order to ... performance improvement activities in order to maximize the patient placement/ precertification process. + Completes assigned goals. Experience Description Minimum… more
- HCA Healthcare (Chattanooga, TN)
- …We care like family! Jump-start your career as a(an) Medical Office Specialist today with Spine Surgery Associates. **Benefits** Spine Surgery Associates, offers a ... benefits may vary by location._** Come join our team as a(an) Medical Office Specialist . We care for our community! Just last year, HCA Healthcare and our colleagues… 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
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …the following tasks: Verification of Benefits for all Spine surgeries and Precertification of all Spine Surgeries. The Pre-Certification Specialist is ... responsible for completing the pre-authorization process for spine surgeries. The Pre-Certification Specialist is expected to provide the highest level of service to… more
- RWJBarnabas Health (Elizabeth, NJ)
- Specialist , Mental Health-Adult OPReq #:0000203907 Category:Behavioral and Mental Health Status:Full-Time Shift:Day Facility:Trinitas Regional Medical Center ... per hour Location: 654 E. Jersey Street, Elizabeth, NJ 07206 Job Title: Specialist Location: NPC PLAZA BLDG Department Name: Mental Health-Adult OP Req #: 0000203907… 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
- Penn Medicine (Bala Cynwyd, PA)
- …each day. Are you living your life's work? Summary: + The Preregistration Specialist III possesses an in-depth knowledge of insurance plans and policies in regard ... to financially clearing inpatient and outpatient-based procedures. The Pre-Registration Specialist III is responsible for insurance verification, benefit obtainment,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …And more **Description** The function of the Patient Access Priority Engagement Specialist , Lead is responsible for the coordination, communication, and training of ... with exam information. + Familiar with Advance Beneficiary Notice, precertification , ICD-10 coding, Medical Terminology. Communicates with Physician Offices, Staff,… more
- TEKsystems (Appleton, WI)
- …for obtaining verification of eligibility, insurance benefits, and ensuring precertification /prior authorization and referral requirements are met prior to treatment ... and maintaining that information to reflect the most up to date coverage. 1. Accurate verification of insurance eligibility/benefits, and entry of new or updated information for all patient accounts. 2. Enter new patient demographics and maintain established… more
- Vanderbilt University Medical Center (Nashville, TN)
- …proper resources if needed with assistance from the Lead/Manager. + Obtains precertification or proper insurance approval prior to surgical procedures. + Notifies ... and forwards paperwork for insurance certification to billing office and obtains additional paperwork if needed, for compliance. + Monitors surgery schedule and ensures optimization of resources and workflow. + Maintains quality in operations impacting… more
