- Hunterdon Health Care System (Flemington, NJ)
- Position Summary: The Pre - Authorization Representative will ensure they gather all information needed to attempt to complete approval of any Radiology and/or ... Procedures. This requires the PA Rep to process the entire Pre - Authorization process to include all current insurances, PA requirements, gathering all… more
- UCLA Health (Los Angeles, CA)
- Description As a Patient Authorization Representative , you will be responsible for: + Pre -encountering and pre -registering patients as well as providing ... Determining co-pays and deductibles; confirming and obtaining appropriate insurance authorization + Informing patients of their financial responsibility + Answering… more
- University of Utah Health (Salt Lake City, UT)
- …obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with physicians, ... **Responsibilities** + Verifies insurance eligibility, benefits, network status, and creates pre -service liability estimate. + Ensures accurate ICD, CPT codes and… more
- UNC Health Care (Goldsboro, NC)
- …the health and well-being of the unique communities we serve. Summary: The Pre - Arrival Authorization Specialist I will serve patients/customers and physician ... or mail out to insurance payers to complete and obtain the pre -certifications/authorizations. Documents communication in the EHR and updates referral statuses. Acts… more
- TEKsystems (Spokane, WA)
- …in patient electronic record regarding payer/billing information. * Obtain initial pre -authorizations as required by insurance plans. * Verification of physician ... & vision* Critical Illness, Accident, and Hospital* 401(k) Retirement Plan - Pre -tax and Roth post-tax contributions available* Life Insurance (Voluntary Life & AD&D… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *SUMMARY:* We are currently seeking a* Pre -Registration Representative Senior*to join our*Financial Securing* team. This full-time role will primarily work ... to department policies and procedures related to verification of eligibility/benefits, pre - authorization requirements, and available payment options * Identifies… more
- Northwestern Medical Center (St. Albans, VT)
- Pre -Encounter Representative Representative Patient Access Department Join our award-winning team! Northwestern Medical Center, where you can be the ... healthcare for our community and we are currently recruiting for a Full-time Pre -Encounter Representative opportunity. JOB SUMMARY: + The Pre -Encounter … more
- MaineGeneral Health (Waterville, ME)
- …all sources. + Confirms insurance coverage and procedure. Determines necessity for pre - authorization and obtains authorization for scheduled procedures. + ... + Excellent communication skills. + Working knowledge of insurance verification, pre - authorization , medical necessity. + Organizational skills and ability to… more
- Tidelands Health (Myrtle Beach, SC)
- …identifying deductibles, copayments, coinsurance, and policy limitations. Obtains referral, authorization and pre -certification information if needed; documents ... and/or make appointments as necessary. For procedures, the employee may pre -register the patient, verifying insurance, etc. In addition, the employee may… more
- Tidelands Health (Myrtle Beach, SC)
- …key to securing reimbursement and minimizing organizational write offs. The Pre -Services Representative must consistently demonstrate skilled communication and ... tasks as this position directly impacts hospital and physician reimbursement. The Pre -Services Representative I is responsible for accurate and complete… more
- LA Care Health Plan (Los Angeles, CA)
- …(HCPCs) codes. Technical Support to UM Specialist: Processing of time sensitive authorization and pre -certification requests to meet department timeframes and ... Supervisor, Authorization Technician Job Category: Clinical Department: Utilization Management...overtime work and will produce accurate accounting of each representative work performance. Conducting evaluations of and implementing enhancements… more
- Northwestern Medical Center (St. Albans, VT)
- … Specialist performs payer eligibility, complex financial clearance, and pre -certification and prior authorization functions for the organization. ... The Specialist acts as the organizational subject matter expert for prior authorization and pre -certification payer requirements and processing, and will… more
- Albany Medical Center (Albany, NY)
- …* Be knowledgeable of and adhere to payer requirements for referrals and authorization within the scope of the specialty they are assigned. * Schedule follow ... up appointments, referrals and prior authorization for patient schedule visits as needed. * Communicate professionally and timely with all parties, including… more
- Mount Sinai Health System (Greenlawn, NY)
- …patients and assist them in navigating MyChart. + May acquire insurance pre - authorization /referrals from managed care plans for all required services, ... **Job Description** **Patient Service Representative - Greenlawn, Long Island - OFFS** **Strength...assist them in navigating MyChart. + May acquire insurance pre - authorization /referrals from managed care plans for all… more
- Catholic Health Services (Melville, NY)
- …patient insurance coverage, notification to payers for non-scheduled admissions, and pre -certification/ authorization requirements via phone or through an online ... patient's insurance(s) is obtained and documented accordingly for tracking purposes. Pre -certification and authorization requirements vary by payer and… more
- R1 RCM (Birmingham, AL)
- …using appropriate terminology to ensure the required level of benefit, pre -certification/ authorization and notifications of admissions are obtained for all ... behavioral health + Completing appropriate electronic systems with detailed benefit and pre -certification/ authorization information to ensure a clean claim +… more
- Sanford Health (Fargo, ND)
- …needs, coordinate provider schedule - Obtain and coordinate referrals & conduct pre - authorization - Arrange interpreter services - Check patients in/out - ... patient/resident appointments and procedures, obtains and coordinates referrals, conducts pre - authorization , arranges interpreter services, checks patients/residents in/out,… more
- University of Miami (Miami, FL)
- …(https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Business Operations Representative 2 The University of Miami/UHealth ... exciting opportunity for a Full Time Clinical Business Operations Representative 2 to work at the UHealth Medical Campus....2 facilitates the prompt resolution of problems related to pre and post care that arise in daily clinical… more
- HCA Healthcare (San Antonio, TX)
- …address. Must also verify as to whether procedure that has been scheduled requires pre -certification or an authorization number in order to be performed and ... all scheduling changes appropriately in the patient's history notes.** + **Verifies whether pre -certification or pre - authorization is required for exam to be… more
- Surgery Care Affiliates (Dover, DE)
- …and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre -certs and authorization information. + Enter the patient insurance ... career opportunities for YOU. Responsibilities The Associate Insurance Verification Representative will: + Verify that sufficient information is available for… more