- 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
- 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
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …year call center experience or prior knowledge of a health insurance pre -service authorization required **Skills and Abilities** + Excellent listening, reading, ... and answer calls for prolonged periods of time with pre -determined breaks required + Facets experience preferred **Licenses and...and Essential Functions** _The Physical Demands described here are representative of those that must be met by an… 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- University of Miami (Miami, FL)
- …of Neurological Surgery is currently seeking a full time Sr. Patient Accounts Representative to work in Miami, FL. The Senior Patient Accounts Representative ... source is billed and collected appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to… more
- Washington County (Woodbury, MN)
- Service Representative | Senior Service Representative Print (https://www.governmentjobs.com/careers/washingtonmn/jobs/newprint/4743682) Apply Service ... Representative | Senior Service Representative Salary $20.10 - $27.32 Hourly Location Woodbury, MN...from each new employee's Form I-9 to confirm work authorization . If the Government cannot confirm that you are… more