- Nuvance Health (Poughkeepsie, NY)
- *Description* *Title: * Pre - Authorization Representative - NHMP Vascular Surgery - Poughkeepsie, NY. Full time/40 hours per week, 8 hour shifts 8:00am - ... systems. 3) Corrects inaccurate information, CPT and ICD9 codes that prohibits pre - authorization . your being secured and charges being entered into Allscripts… more
- CommonSpirit Health Mountain Region (Frisco, CO)
- …standards will be measured through various reporting mechanisms. + Insurance Authorization : Initiates the pre - authorization process and documents ... Obtains authorization for assigned patients. + Patient Estimates & Pre -Screening: Assists the facility Health Benefit Advisor or Financial Counselor(s) with… more
- Highmark Health (Harrisburg, PA)
- …AHN for scheduled services in accordance with the payer-provider contract. The representative contacts payers to request service authorization and may collect ... information from patients and refers accounts to financial advocates if authorization is not obtained as needed. **ESSENTIAL RESPONSIBILITIES** + Obtains prior… more
- Banner Health (AZ)
- **Primary City/State:** Arizona, Arizona **Department Name:** Centralized Pre -Regist-Corp **Work Shift:** Day **Job Category:** Revenue Cycle **Schedule: Monday - ... in ensuring the best care for our patients. Apply today. The PAS Authorization Rep is responsible for verifying and understands insurance benefits, validating … 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
- Covenant Health (Lubbock, TX)
- … pre -certifications, referrals, RQI numbers or any kind of authorization from an insurance company. Primary responsibilities include speaking with medical ... 2 years of Medical office experience dealing with scheduling, telephone calls, prior pre -certification/ pre - authorization , as well as using an electronic… 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
- Tidelands Health (Pawleys Island, 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 II is responsible for accurate and complete… 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 II is responsible for accurate and complete… 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
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 11/08/2024 **Requisition Number** PRN40292B **Job Title** Prior Authorization Representative I **Working Title** Prior Authorization ... and accountability - attributes a successful candidate will exemplify. The **Prior Authorization Representative I** is responsible to secure outpatient and… 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
- UNC Health Care (Chapel Hill, NC)
- …health and well-being of the unique communities we serve. Summary: Sr Revenue Cycle Representative - Responsible for a variety of complex duties in support of the ... and auditing. Successful candidates will have experience in eligibility, authorization , billing and denials, training, and customer service. This position… more
- St. Mary's Healthcare (Amsterdam, NY)
- …-certification/ authorization . * Provides counseling to patient or patient's representative regarding pre service requirements and instructions. * Verifies ... insurance for scheduled patients, and advises patients of copayment requirements. * Coordinates scheduling and referrals to other healthcare providers and services. Obtains approval for schedule changes or cancellations as appropriate. * Assists with… more
- UNC Health Care (Chapel Hill, NC)
- …with incoming calls from patients. Responsible for performing a variety of pre -services tasks and customer service related functions for patients and/or their ... includes verifying patient information is current and accurate, creating/reviewing pre -service estimates, and collection of pre -payments. Responsibilities: 1.… more
- UNC Health Care (Chapel Hill, NC)
- …Estimates team, primarily focused on uninsured patient estimates. Duties include creating pre -service cost estimates from work queues and tracking data related to ... of experience in Hospital or Physician Insurance related activities ( Authorization , Billing, Follow-Up, Call-Center, or Collections). **Preferred Knowledge/Skills/and Abilities:**… 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 : 913-Greenlawn, Long Island - OFFS** **Strength Through...assist them in navigating MyChart. + May acquire insurance pre - authorization /referrals from managed care plans for all… more
- Tidelands Health (Myrtle Beach, SC)
- …identifying deductibles, copayments, coinsurance, and policy limitations. Obtains referral, authorization and pre -certification information if needed; documents ... identifying deductibles, copayments, coinsurance, and policy limitations. Obtains referral, authorization and pre -certification information if needed; documents… 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
- Hartford HealthCare (Westport, CT)
- …promote a positive patient experience. Responsible for Patient Scheduling, Pre -Registration, Registration, Insurance Verification, Insurance Authorization , and ... focused outcomes. ** *Position Description* *We are seeking a Patient Service Representative for our Outpatient Rehab Clinic in Westport, CT.* Our Outpatient Rehab… more
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