- Hackensack Meridian Health (Clifton, NJ)
- …healthcare and serve as a leader of positive change. The ** Precertification and Scheduling Coordinator** collaborates with referring physicians practices to obtain ... clinical information, verifies/intakes patient insurance information, precertification , obtains authorizations from insurance companies, and schedules appointments… more
- Columbus Regional Hospital (Columbus, IN)
- …to the smooth operations of the department. + Scheduler Registrar - Precertification Specialists have a base hourly rate of $17.27 . Individual compensation ... Associates Degree in Business is preferred + Previous experience with the precertification process for cancer detection and treatment procedures + Flexibility in… more
- Ascension Health (Tulsa, OK)
- …**Additional Preferences** Experience: + prior experience preferred + Prior precertification experience preferred **Why Join Our Team** Ascension St. John ... has been serving Northeast Oklahoma with compassionate, personalized care since 1926. Join more than 7,000 associates and find a rewarding healthcare career at one of our 6 hospitals and numerous other sites of care. When you join our care teams, you join a… more
- Insight Global (Charleston, SC)
- Job Description Insight Global is searching for a Precertification Specialist to assist on a 6 month contract for one of our largest healthcare clients in the ... southeast. This person will be responsible for obtaining authorizations for all appointments, surgeries, and procedures in the Charleston, SC market. You will be working primarily through insurance payer portals and may occasionally have to reach out to an… more
- CVS Health (Harrisburg, PA)
- …Medicare Behavioral Health Outpatient clinician will be part of the Medicare precertification team. Members of this team will utilize their clinical experience to ... assess appropriateness of treatment plans for members accessing outpatient services. This team will gather clinical information and apply appropriate clinical judgment to render coverage determination/recommendation that are in line with evidence-based… more
- UC Health (Cincinnati, OH)
- …Verification of insurance coverage utilization different on-line modalities for clinic patients receiving medications and chemotherapy. The associate is responsible ... Location: UC Health Business Center / Remote Department: Medication Access Services, Pharmacy Hours: 0800-1630 Shift: First UC Health is hiring a Full-time, Medication Access Advocate in Pharmacy Administration at University of Cincinnati's Medical Center.… more
- Ascension Health (Austin, TX)
- …Coordinate with physicians offices and insurance companies in obtaining authorization for all hospital admissions. + Obtain authorization on for admissions as ... required by health plans. + Enter patient insurance authorizations and any pertinent information from insurance company into the patient account history. + Document insurance coverage of services to be provided. + Notify case management about interactions with… more
- Southeast Health (Dothan, AL)
- …Summary Interviews and obtains all necessary information to register or admit patients. Obtains signatures for permission for treatment and reimbursement for ... services. Obtains billing information, ensures pre-authorizations are obtained for treatment and all other reimbursement requirements are met. Discharges patients upon completion of treatment. Assists with posting and verifying of charges as well as… more
- Northern Light Health (Bangor, ME)
- …Care Organizations to gain full understanding of benefit coverage and precertification /authorization, if appropriate. + Quality review procedures are followed to ... of departmental policies, procedures and workflows + Insurance verification and precertification is performed prior to elective inpatient admission to ensure… more
- Northern Light Health (Bangor, ME)
- …Care Organizations to gain full understanding of benefit coverage and precertification /authorization, if appropriate + Quality review procedures are followed to ... departmental policies, procedures and work flows + Insurance verification and precertification is performed prior to elective inpatient admission to ensure accounts… more
- US Tech Solutions (Canton, MA)
- …/ Outpatient UM team and works under the general direction of the Precertification Team Manager or department Manager. The Clinical Reviewer is expected to ... + Orients new staff to role as needed. + Interfaces between Precertification staff and providers when issues arise regarding policy interpretation, potential access… more
- Northern Light Health (Hampden, ME)
- …Care Organizations to gain full understanding of benefit coverage and precertification /authorization, if appropriate + Quality review procedures are followed to ... Maintains documented evidence of continuing education + Insurance verification and precertification is performed prior to elective inpatient admission to ensure… more
- CVS Health (Austin, TX)
- …timely and consistent responses to members and providers related to precertification , concurrent review, and appeal request. This position is primarily responsible ... for Utilization Management, including prior authorization and precertification as well as concurrent review. Cases could focus on inpatient or outpatient, acute and… more
- Elevance Health (Latham, NY)
- …Management Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** ... and benefit eligibility; provides authorization for inpatient admission, outpatient precertification , prior authorization, and post service requests. + Refers cases… more
- WellSpan Health (York, PA)
- …as required. Explains insurance coverages and requirements for precertification /preauthorization, as applicable. + Prepares pre-admission and admitting forms, ... and updates as necessary. + Works with appropriate sources to coordinate precertification requirements with PROs, HMOs and other contractual third parties. + Assist… more
- HCA Healthcare (Miami, FL)
- …to patients and/or physicians as requested + Generate insurance verification and precertification reports daily and follow up with case management and insurance ... on-line websites or phone calls to determine insurance benefits and precertification requirements + Assist patients with payment arrangements and in co-ordination… more
- HCA Healthcare (El Paso, TX)
- …to patients and/or physicians as requested + Generate insurance verification and precertification reports daily and follow up with case management and insurance ... on-line websites or phone calls to determine insurance benefits and precertification requirements + Assist patients with payment arrangements and in co-ordination… more
- Rochester Regional Health (Rochester, NY)
- …insurance card(s) and scans into computer system reviewing for mandatory precertification and/or other third party payer requirements + Collects complete financial ... number, group number, subscriber name, guarantor name and address, and precertification numbers + Selects appropriate financial class and insurance code +… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …performance improvement, utilization management, and compliance related issues. Conducts precertification with third party-payers including VA and Community Care as ... reviews on Service Connection (SC), non-SC, Special Authority (SA), precertification , prospective review, concurrent review, denial management, retrospective review,… more
- HCA Healthcare (Brandon, FL)
- …to patients and/or physicians as requested + Generate insurance verification and precertification reports daily and follow up with case management and insurance ... on-line websites or phone calls to determine insurance benefits and precertification requirements + Assist patients with payment arrangements and in co-ordination… more
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