- 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
- 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
- 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
- Children's Clinics (Tucson, AZ)
- Children's Clinics is seeking a Full-Time Prior Authorization Specialist . This position is responsible for exercising independent judgment to process "provider ... of AHCCCS, CRS, and private insurance guidelines. + Knowledge of precertification , referrals, and prior authorization. + Knowledge of medical terminology, CPT,… more
- UNC Health Care (Goldsboro, NC)
- **Description** Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining authorizations from insurance ... payers electronically; call insurance companies as needed. 3. Initiates the authorization/ precertification process for referrals in Epic. 4. Update the referral… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Utilization Management Specialist , Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health ... Forbes "Best Employer" seven times. Position Summary: The Utilization Management Specialist I will perform utilization management functions to include medical… 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
- Banner Health (Mesa, AZ)
- …interesting to you, we want to hear from you. As a Referral Specialist you will verify and update patient registration information in the system/chart. Obtains ... benefit verification and necessary authorizations (referrals, precertification ) prior to patient arrival for all specialty consultations and follow ups, uses online,… 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 ... NPC Plaza Building, 654 E. Jersey Street, Elizabeth, NJ 07206 Job Title: Specialist Location: NPC PLAZA BLDG Department Name: Mental Health-Adult OP Req #:… more
- Vanderbilt University Medical Center (Nashville, TN)
- …4:30pm KEY RESPONSIBILITIES + Proficiently performs all Sr 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
- UNC Health Care (Goldsboro, NC)
- **Description** Summary: The Pre-Admission Specialist is responsible for assuring appropriate insurance verification, prior approvals, and all authorization ... experience in patient access, registration, billing, insurance and/ or precertification required. Experience with insurance carriers or a third-party administrator… more
- Penn Medicine (Philadelphia, PA)
- …financially clearing inpatient and outpatient based procedures. + The Pre-Registration Specialist is responsible for insurance verification, benefit obtainment, and ... precertification for all HUP scheduled outpatient surgical procedures and inpatient admissions via telephone and online tools. + The incumbent is also responsible for… 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
- TEKsystems (St. Louis, MO)
- …pre-certification is received from insurance companies Skills epic systems, precertification , insurance process, medical insurance, medical data, medical terminology ... Top Skills Details epic systems, recertification,I nsurance process, medical insurance,m edical data ,medical terminology Additional Skills & Qualifications Medical Terminology Proficiency Insurance Plan Knowledge (Commercial, Medicare, Medicaid) Prior… more
- UCHealth (Aurora, 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
- Ascension Health (Austin, TX)
- …enter demographic information. + Obtain and verify insurance authorizations/ precertification . Complete medical record release requests and schedule/confirm patient ... appointments. + Enter, review and submit charges for patient procedures and services daily. Collect co-payments and reconcile all daily reports and deposits for accuracy. + Provide general office and clerical support to assigned area. **Requirements**… more
- 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
- Beth Israel Lahey Health (Burlington, MA)
- …Analyzed clinical documentation in support of ordered procedure(s) and submitted precertification requests through various insurance fax lines, phone systems, and ... web portals. Follow up on pending accounts and involve ordering provider offices as needed to obtain approvals. + Escalates challenging accounts to provider representative to ensure accounts are approved at least two weeks prior to patient appointment/surgery.… more