- Hackensack Meridian Health (Paramus, 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
- Hackensack Meridian Health (Paramus, 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
- CEENTA (Huntersville, NC)
- …any time without notice. A Typical Day in the Position The Precertification Specialist is responsible for obtaining prior authorizations for all scheduled surgical, ... and solve routine type issues, but when potential systemic issues are noted, these should be reported to the Precertification Team Supervisor. Powered by JazzHR more
- LifePoint Health (Somerset, KY)
- …select a valid job field* **Organization:** **Lake Cumberland Cardio Assoc* **Title:** *Clerk- Precertification * **Location:** *Kentucky-Somerset* **Requisition ... Obtains insurance benefits information when applicable and may perform other admissions related functions. Minimum Education* Must have a high school diploma or equivalent. Minimum Work Experience* Computer experience in a business setting.* One (1) year… more
- NJM Insurance (Trenton, NJ)
- …appropriate and causally related. + Evaluate requests for precertification /preauthorization/prescreen to determine if treatment is medically necessary, clinically ... appropriate and causally related based upon a review of the medical records, regulations, NJM Medical, WC, and PIP Policies, standard professional treatment protocols and evidence-based guidelines (ODG and/or MCG). + Conduct retrospective review of medical… more
- Ascension Health (Wichita, KS)
- …Connect with your Talent Advisor for additional specifics._ **Responsibilities** Coordinate with physician 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… 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
- Billings Clinic (Billings, MT)
- …ensuring authorization has been obtained. * Identifies and initiates precertification /authorization requirements for individual payers and communicates with payer ... and improve quality. * Documents and maintains patient specific precertification /authorization data within the required information systems. Documents and tracks… 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
- 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
- Northern Light Health (Brewer, ME)
- …Care Organizations to gain full understanding of benefit coverage and precertification /authorization, if appropriate * Quality review procedures are followed to ... documented evidence of continuing education Finance * 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 ... documented evidence of continuing education Finance * Insurance verification and precertification is performed prior to elective inpatient admission to ensure… more
- MCG Health System (Augusta, GA)
- …ensure high quality/cost efficient medical outcomes for patients needing precertification or preauthorization. Also responsible for estimating and collecting ... or more in medical scheduling, insurance benefit verification and/or precertification . Databases, spreadsheets, operating systems. High face-to-face volume customer… more
- United Musculoskeletal Partners (Arlington, TX)
- …insurance coverage to ascertain deductible and coinsurance amounts, obtaining precertification /authorization for durable medical equipment and other services as ... documentation necessary for office visits. + Enters benefits and precertification /authorization into EMR system (Referral Management). + Coordinates with referring… more
- Bon Secours Mercy Health (Virginia Beach, VA)
- …authorization billing requirements for therapy services by obtaining appropriate precertification /authorization from all necessary payers to avoid delays in patient ... authorization/referral policies, timely submission, tracking and documentation of all precertification /authorizations required for upcoming services, based on therapy plan… more
- Vanderbilt University Medical Center (Nashville, TN)
- …function. + Verifies patient eligibility and coverage for procedure, obtain precertification 's, and discuss potential financial obligations with patient. + Obtains ... precertification or proper insurance approval prior to surgical procedures. + Notifies and forwards paperwork for insurance certification to billing office and… more
- HCA Healthcare (Kansas City, MO)
- …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
- Trinity Health (Albany, NY)
- …and experience in rehabilitation. + Facilitation of benefit eligibility and precertification by payers prior to the rehabilitation admission. + Coordination of ... payer requirements + Assists in facilitation benefit eligibility and precertification + Maintains a thorough knowledge of rehabilitation settings, post-acute… more
- HCA Healthcare (St. Petersburg, 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