- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Pre - Certification Specialist (Full-time) PRE ... Wage:$17.15 to $21.44 per hour Responsible for the completion of pre - certification , prior authorization and notification for third party and government payers… more
- University of Michigan (Ann Arbor, MI)
- Pre - Certification Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page ... action employer. **Job Detail** **Job Opening ID** 250409 **Working Title** Pre - Certification Specialist **Job Title** Pre - Certification … more
- University of Virginia (Charlottesville, VA)
- POSITION SUMMARY: Obtains pre - certification for all inpatient admission and pre -authorization for all outpatient diagnostic tests and performs an ... proficient use of PC and UVA software systems to ensure that all pre - certification / pre -authorization information is entered into required computer systems in… more
- Mount Sinai Health System (Richmond, NY)
- **Job Description** **Referral and Pre - Certification Specialist - Radiology - Staten Island - Full Time - Day - OFFSITE** The Offsite Referral and Pre - ... Specialist is responsible for completing all referrals and pre - certification requirements according to established protocols. **Qualifications** +… more
- Charter Care Health Partners (Providence, RI)
- …responsibilities. Responsible to obtain, enter, and track all authorizations and pre -certs as required by the individual insurance company. The specialist will ... be familiar with and understand Medicare, Medicaid, other government payers, Commercial and HMO/PPO Payers guidelines and principals. Education: High school graduate or GED required. Associate's level degree preferred. Experience: Prior experience working in a… more
- Holzer Health System (Bidwell, OH)
- …The Precert Specialist will be primarily responsible for precerting outpatient procedures within the Clinic. Effectively communicate with third party payers and their ... Utilization Review Departments to assure procedures are authorized and medically necessary. The Precert Specialist will communicate efficiently with Clinic departments to assure precertification is obtained. Monitor Radiology schedules daily and assure… more
- CaroMont Health (Gastonia, NC)
- …is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre - certification , authorization, and referral requirements are met prior to ... Job Summary: The Pre -Authorization Specialist is a member of the Utilization...for care, via phone, fax, or payer websites. The Pre -Authorization Specialist provides detailed and timely communication to both… more
- Catholic Health Services (East Hills, NY)
- …are executed by securing personal, clinical data, and insurance information, verification and pre certification prior to the date of service Salary Range USD ... can develop their expertise and strengthen their credentials. Job Details Pre -Registrar Job Requirements: Requires HS Diploma/GED Ability to communicate effectively;… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …District Attorney's office and CBO for payment of patient bills. + Obtains pre - certification and benefits from insurance companies for the admission or expected ... + High School Diploma or GED required + CPR Certification (as required by facility) Physical Requirements - Sedentary...711). Offers of employment are contingent upon successful completion of a pre -employment health and drug screen and background… more
- City of New York (New York, NY)
- …Leader. The selected candidate will be responsible for managing the borough's pre - and post- certification ULURP application pipeline, including internal process ... divisions, and helps develop timelines for internal division reviews during the pre - certification process. - Regularly reviews data quality within ZAP and… more
- City of New York (New York, NY)
- …Leader. The selected candidate will be responsible for managing the borough's pre - and post- certification ULURP application pipeline, including internal process ... divisions, and helps develop timelines for internal division reviews during the pre - certification process. - Regularly reviews data quality within ZAP and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …_development,_ and leadership programs + And more **Description** **The Director of Pre - Certification will oversee the pre - certification process ... practices, and operational efficiencies.** **The Director will lead a team of pre - certification specialists, collaborate with clinical staff, and engage with… more
- Apex Health Solutions (Houston, TX)
- …Solutions payor's prospective review criteria and authorization procedures. Coordinates pre - certification activities with contracted health plans and interfaces ... with providers and/or enrollees when pre - certification issues arise. Educates and affords training to network physicians/office staff on prospective… more
- Hackensack Meridian Health (Old Bridge, NJ)
- …including, but not limited to, facility based scheduling, bed planning, pre -registration, registration, insurance verification, pre - certification , point of ... respectful and helpful manner. + Implements the Medical Center's scheduling, pre -registration, pre - certification , referral procurement and insurance… more
- Covenant Health Inc. (Knoxville, TN)
- …patients registered to our facility. Ensures verification of benefits and pre - certification requirements are met prior to scheduled appointment/admission. ... resources required for procedure/event. + Verifies insurance benefits and obtains pre - certification from various third-party payers. Has extensive knowledge of… more
- Covenant Health Inc. (Knoxville, TN)
- …patients registered to our facility. Ensures verification of benefits and pre - certification requirements are met prior to scheduled appointment/admission. ... resources required for procedure/event. + Verifies insurance benefits and obtains pre - certification from various third-party payers. Has extensive knowledge of… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? **Summary:** + Obtain pre - certification and referrals for inpatient and same day encounters. Verification of ... Admin) **Responsibilities:** Patient/Customer: + Determines patients' insurance requirements for pre - certification , patient payments and coverage limitation and… more
- Allied Universal (South Charleston, WV)
- …such as Commercial Real Estate, Healthcare, Education, Government and more. ** Pre -Employment Requirements:** + **EMT Certification Required** + **Valid Driver's ... Security Officer, you will be a member of a pre -hospital emergency care medical team. You will serve and...emergency medical care and other treatment pursuant to EMT certification + Determine the nature and extent of illness… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …for a scheduled patient event. + Verifies benefits, extent of coverage, pre - certification and pre -authorization requirements. Plus other limitations within ... and procedures + Collaborate with other departments to assist in obtaining pre -authorizations in a cross functional manner + Manage correspondence with insurance… more
- Covenant Health Inc. (Tazewell, TN)
- …patients registered to our facility. Ensures verification of benefits and pre - certification requirements are met prior to scheduled appointment/admission. ... resources required for procedure/event. + Verifies insurance benefits and obtains pre - certification from various third-party payers. Has extensive knowledge of… more
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