- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …care patients need to keep moving and keep enjoying their life. The Insurance Specialist - Precertification Spine is expected to provide the highest level of ... Medical Terminology + HIPAA Compliance Preferred Experience: 1 year of Insurance/ Precertification experience preferred, medical terminology, CPT and ICD 10 knowledge… more
- Penn Medicine (Ewing, NJ)
- …Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders ... in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart,… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Referral Specialist , Centralized Referrals Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group Overview: Covenant Medical Group is ... providers close to home. Position Summary: The Referral and Precertification Specialists manages scheduling for specialty facilities and procedures, creates… 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
- 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
- University of Colorado (Aurora, CO)
- **Pre-Authorization Specialist ** **Description** **Univers** **ity of Colorado Anschutz Medical Campus** **Department: Orthopedics** **Job Title:** **Position #:** ... by the FREE value-added recruitment advertising agency (https://www.jobelephant.com/) Pre-Authorization Specialist - 38475 University Staff The Orthotics Pre-Authorization … more
- Henry Ford Health System (Detroit, 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
- 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 part-time 24 hour/ week position Responsibilities: +… 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
- Penn Medicine (Philadelphia, PA)
- …3535 Market Street, Philadelphia** **Hours: Full-Time** Summary: + The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual ... financially clearing inpatient and outpatient based procedures. The Pre-Registration Specialist is responsible for insurance verification, benefit obtainment, and … more
- Bon Secours Mercy Health (Greenville, SC)
- …where associates want to work and help communities thrive. **Scheduling Specialist -** **St. Francis Cancer Center** **Job Summary:** Coordinates and schedules ... provider and non-provider payers and communicates to patient, physician, precertification , and other appropriate departments. Maintains statistical data 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
- Cleveland Clinic (Cleveland, OH)
- …specified non-clinical work. + Initiate contact with payers to facilitate precertification for transfer to post-acute facilities, provide clinical documentation and ... ensure timely follow up calls. + Initiate contact with post-acute agencies, provide updates as requested and facilitate placement. + Facilitate 7000 forms by Healthcare Electronic Notification System (HENS). + Place and close referrals in AllScripts Care… 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
- 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
- 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
- Katmai (Usaf Academy, CO)
- …for those enrollees identified as having the need for inpatient/outpatient precertification . **ESSENTIAL DUTIES & RESPONSIBILITIES** + Review precertification ... licenses, etc. listed on the credentialling checklist, sent by Katmai's Credentialing Specialist , for this position for initial hire. + Must obtain and maintain… 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
- Atlantic Health System (Pompton Plains, 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