- CEENTA (Huntersville, NC)
- …at any time without notice. A Typical Day in the Position The Precertification Specialist is responsible for obtaining prior authorizations for all scheduled ... voicemails, scanned faxes, communicate as needed with provider offices. The Pre-certification specialist should be able to work independently and solve routine type… more
- Bon Secours Mercy Health (Virginia Beach, VA)
- …Location (this is not a hybrid or remote position) **Insurance Authorization Specialist - Full-Time, Outpatient PT/OT/ST** Position acts as the central liaison ... authorization billing requirements for therapy services by obtaining appropriate precertification /authorization from all necessary payers to avoid delays in patient… 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
- Vanderbilt University Medical Center (Shelbyville, TN)
- …with outside facilities or providers. Facilitates required pre-authorization, precertification or predetermination for procedures or appointments. Provide guidance ... . The VUMC Weight Loss Department is in need of a **Sr. Patient Service Specialist ** to join the team at our **Shelbyville, TN** clinic. **Shift:** Monday - Friday -… more
- UNC Health Care (Goldsboro, NC)
- …the unique communities we serve. Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining authorizations ... payers electronically; call insurance companies as needed. 3. Initiates the authorization/ precertification process for referrals in Epic. 4. Update the referral… more
- Vanderbilt University Medical Center (Nashville, TN)
- …with outside facilities or providers. Facilitates required pre-authorization, precertification or predetermination for procedures or appointments. Provide guidance ... VUMC Heart and Vascular Institute is in need of a **Senior Patient Service Specialist ** to join the team! **Shift:** Monday - Friday - 1st shift **Department… more
- Baptist Memorial (Oxford, MS)
- …resource consumption and reimbursement. + Precertifies patient care services that require precertification , as identified, in a timely, efficient manner, in order to ... performance improvement activities in order to maximize the patient placement/ precertification process. + Completes assigned goals. Requirements, Preferences and… more
- Avera (Pierre, SD)
- …your lifestyle and opportunities for career growth. **Join Avera as an Admissions Specialist II and join a mission-driven organization with a great company culture, ... with the largest employer in South Dakota.** **Job Summary** + The Admissions Specialist II is accountable for accurate and timely registration of all patients while… more
- Vanderbilt University Medical Center (Hingham, MA)
- …with outside facilities or providers. Facilitates required pre-authorization, precertification or predetermination for procedures or appointments. Provide guidance ... * Schedules appointments, procedures and diagnostic testing. * Pre-authorization, precertification or predetermination of procedure and resolves related issues. *… more
- Henry Ford Health System (Troy, 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
- Elevance Health (Plano, TX)
- …The **Referral Specialist III** is responsible for issues involving the precertification and prior authorization review. This level is expected to be able to ... infusion centers, and the home setting. **Title** : Referral Specialist III - Paragon Healthcare **Location** : 3033 W...perform all of the duties the Referral Specialist I and II in addition to the following… more
- Penn Medicine (Cherry Hill, NJ)
- …each day. Are you living your life's work? **Title:** Preregistration Specialist **Organization:** Cherry Hill Operations **Location:** Penn Medicine Cherry Hill - ... **Entity:** CPUP **Hours:** Full time regular **Summary:** + The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Summary:** + The Preregistration Specialist III possesses an in-depth knowledge of insurance plans and policies in ... to financially clearing inpatient and outpatient-based procedures. The Pre-Registration Specialist III is responsible for insurance verification, benefit obtainment,… more
- Froedtert South (Kenosha, WI)
- Refund Specialist Froedtert South Kenosha, WI (Onsite) Full-Time Apply Now Job Details + POSITION PURPOSE + Prepares and submits properly executed claims to ... ESSENTIAL DUTIES + Independently performs all aspects of insurance precertification , claims billing, follow-up work, and appeals, including accessing, retrieving,… more
- Vanderbilt University Medical Center (Franklin, TN)
- …. The VUMC Women's Health Department is in need of a **Surgery Scheduling Specialist ** to join the team at our **Cool Springs Women's Health Clinic** ! **Department ... proper resources if needed with assistance from the Lead/Manager. + Obtains precertification or proper insurance approval prior to surgical procedures. + Notifies… more
- Children's Clinics (Tucson, AZ)
- Children's Clinics is seeking a Full-Time Prior Authorization Specialist . As a member of the dynamic Prior Authorization team the individual will join a strong ... party insurance prior authorization and referral guidelines + Experience in precertification , referrals and prior authorization is required. Individual should have a… more
- UNC Health Care (Goldsboro, NC)
- …well-being of the unique communities we serve. Summary: The Pre-Admission Specialist is responsible for assuring appropriate insurance verification, prior approvals, ... experience in patient access, registration, billing, insurance and/ or precertification required. Experience with insurance carriers or a third-party administrator… more
- UCHealth (Aurora, 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
- 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
- AnMed Health (Anderson, SC)
- This position is responsible for performing precertification /certification/authorization activities as part of the daily operations of the Utilization Management ... program at AnMed Health within the Clinical Coordination model. These duties include but are not limited to: initial certification, collection of necessary information to initiate and/or complete authorizations as required by assignment/procedure, regulatory… more
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