- 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
- 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
- Catholic Health Initiatives (Chattanooga, TN)
- …with office managers as dictated by 3rd party payers + Initiate pre -cert for patients when required, obtaining precertification reference number, and utilization ... review company contact person and telephone number + Maintains patient and associate privacy and confidentiality. + Performs other duties as assigned. + Performs collection functions and financial assistance for payment methods + Collect point of service… 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
- University of Utah (Salt Lake City, UT)
- …Title** Prior Authorization Representative I **Working Title** Prior Authorization Rep I **Job Grade** UGR **FLSA Code** Nonexempt **Patient Sensitive ... and accountability - attributes a successful candidate will exemplify. The **Prior Authorization Representative I** is responsible to secure outpatient and… more
- Guthrie (Johnson City, NY)
- …Confirms insurance coverage via payer portals and determines necessity for pre - authorization .| Obtains authorization and processes referrals for ... in the patient medical record and any actions taken regarding authorization status, coverage issues, restrictions and appointment details. Notifies patients and… 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
- 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
- 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
- Penn Medicine (Philadelphia, PA)
- …Office of Compliance and HIPPA in reference to confidentiality. Assist admissions representative obtaining pre -cert and authorization numbers. Keep ... obtain a referral and make patient aware of any co-pays. Pre -certify and obtain authorization numbers and enter into Epic insurance flowsheet. Obtaining medical,… more
- Tufts Medicine (Lowell, MA)
- …responsible for verifying patient insurance, confirming benefits eligibility, performing pre - authorization , pre -certification, and/or notification as ... record for reference of hospital administration and billing. 9. Obtains authorization , pre -certification, referral, and/or notification as necessary. Attaches… more
- Finger Lakes Health (Geneva, NY)
- … Pre -certifying the service with the payer, Obtaining any required pre - authorization (s), and documenting all information related to the certification/ ... + POSITION SUMMARY: + The Patient Access Representative II is responsible for obtaining patient demographics, insurance and financial information, and applicable… more
- Fresenius Medical Center (Kennesaw, GA)
- …and eligibility - Verify insurance policies on behalf of patients - Initiate pre - authorization for patient services - Payor portal experience required - ... This is a remote position **PURPOSE AND SCOPE:** The Insurance Representative provides general administrative support in the insurance collections process within… more
- AdventHealth (Altamonte Springs, FL)
- …relationships that are equally respectful to all. Job Keywords: Registration Representative , Authorization Representative , Patient Registration, PreAccess, ... pre -authorizations. Conducts diligent follow-up on missing or incomplete pre -authorizations with third-party payers to minimize authorization related denials… 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 ... you have the career opportunities as a(an) Insurance Verification Rep you want with your current employer? We have...appropriately in the patient's history notes. 3. Verifies whether pre -certification or pre - authorization is required… more
- Central Maine Medical Center (Lewiston, ME)
- …standards as determined by Department Financial Clearance ( Pre -Registration, Referral/ Authorization /Verification/Estimation The responsibilities include but ... + Initiate outbound calls to complete scheduling requests + Communicates pre -procedure preps + Secure and validate required demographic and insurance information… more
- Trinity Health (Muskegon, MI)
- …accounting system. Conducts online insurance eligibility/benefit verification, pre -certification/ authorization , referral clearance and financial education ... **Shift:** Day Shift **Description:** **Position Summary:** The Financial Clearance Representative obtains and/or verifies demographic, clinical, financial and insurance… more
- Trinity Health (Muskegon, MI)
- …accounting system. Conducts online insurance eligibility/benefit verification, pre -=certification/ authorization , referral clearance and financial education ... Part time **Shift:** Day Shift **Description:** The Financial Clearance Representative obtains and/or verifies demographic, clinical, financial and insurance… more
- Robert Half Office Team (Floyds Knobs, IN)
- …+ Submitting insurance claims and monitor their status. Facilitating any required pre - authorization for specific medical procedures. + Working closely with ... various departments to ensure the smooth flow of communications. + Navigating efficiently between multiple computer programs and databases. Requirements Microsoft Office Suite, EMR/EHR knowledge, Insurance Verification Experience, Benefits Verification and… more