- BrightSpring Health Services (Arlington, TX)
- …claims. + Understands Insurance and Medicaid formularies and processes, including the prior authorization processes. + Makes outgoing calls to Facilities, Plans, ... + Provides clinical support to members of the RxAllow team regarding prior authorization concerns + Achieves productivity goals with regard to calls/claims per… more
- UNC Health Care (Goldsboro, NC)
- …well-being of the unique communities we serve. Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining ... authorizations from insurance payers prior to services been scheduled or rendered at UNC...the EHR and updates referral statuses. Acts as a representative to complete referrals and financial information which serves… more
- Tidelands Health (Pawleys Island, SC)
- …responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete pre-registration of all scheduled ... least one (1) year of experience in Healthcare Revenue Cycle that includes prior authorization . **ADDITIONAL PREFERRED EXPERIENCE:** + Knowledge of CPT and ICD… more
- Tidelands Health (Myrtle Beach, SC)
- …responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete pre-registration of all scheduled ... Two (2) years of experience in Healthcare Revenue Cycle that includes prior authorization . **KNOWLEDGE/SKILLS/ABILITIES** : * Ability to interact successfully… more
- Catholic Health Services (Melville, NY)
- …an online system to secure authorizations for scheduled procedures requiring an authorization , prior to the date of service. Responsibilities: Utilize work ... authorization is needed and understand payer specific criteria to appropriately secure authorization and clear the account prior to service where possible.… more
- St. Luke's University Health Network (Hamburg, PA)
- …their visit. + Responsible for contacting the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certs ... pay for health care. JOB SUMMARY The Patient Access Representative I is responsible for the entire scope of...prior to service to decrease denials for no authorization . + Must obtain Medical license Number, NPI and… more
- US Tech Solutions (May, OK)
- …includes problem resolution, business writing, quality improvement and customer service **Skills:** Prior Authorization Medicare and Medicaid Call handling ... phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and...clients or lines of business and in accordance with Medicare Part D CMS Regulations. Must apply information provided… more
- Surgery Care Affiliates (Phoenix, AZ)
- …individual payer websites to obtain eligibility, benefits and/or pre-certs and authorization information. + Enter the patient insurance information into patient ... center compliance with CMS Conditions for Coverage guidelines in contacting patient's prior to the date of service to review, Physician Ownership, Advance Directives… more
- Trinity Health (Brighton, MI)
- …registration record. Communicates with patients their financial responsibility, benefit and authorization status prior to clinical services. Facilitate cash ... PURPOSE** Under limited supervision; determines need for and obtains authorization for treatment/procedures and assignment of benefits required. Provides...collection as appropriate prior to and at the time of service, including… more
- Tidelands Health (Myrtle Beach, SC)
- …multiple resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... and forms completed including and not limited to the following: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy… more
- Tidelands Health (Murrells Inlet, SC)
- …multiple resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... and forms completed including and not limited to the following: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy… more
- Sharp HealthCare (San Diego, CA)
- …make appropriate Medi-Cal and CMS referrals to HOS workers.Screens all Medicare inpatient admissions for 72-hour outpatient overlapCheck for MCARE overlapping ... charges and transfers when appropriate72-hour outpatient overlaps are used for Medicare inpatient admitsComplies with all rules and regulations governing Medicare… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Patient Access Representative - Patient Access Insurance Verification - Corporate Full-Time- Days (M-F & 1 Saturday Monthly)** Obtains complete ... EPIC/ EAGLE / HURON-Ontrac & different payer websites to access benefits/ authorization , including submissions. Compensation Statement The Mount Sinai Health System… more
- Intermountain Health (Salt Lake City, UT)
- …with pre-op patients to explain the surgery process. **_Patient Experience Representative - Scheduling Specialist in the Neurology Clinic_** **Scope** + Creates ... orders are proposed, signed off and sent for hospital orders. + Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior … more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Patient Support Representative ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... difference. We are looking for a dedicated Patient Support Representative like you to be a part of our...or hospital charity applications. + Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed,… more
- Tufts Medicine (Boston, MA)
- …under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is ... responsible for verifying patient insurance, confirming benefits eligibility, performing pre- authorization , pre-certification, and/or notification as required by third party… more
- TEKsystems (Tempe, AZ)
- …inbound calls and some follow up calls Answers calls and questions on prior authorization , general questions and some confidential information Great customer ... Description: Customer service representative working in a call center environment Handling… more
- Spectrum Health Services (Philadelphia, PA)
- …+ Obtains patient's signature on health care forms (for example, Medicaid and Medicare Authorization Forms, etc.). + Scan patient's identification and insurance ... is the first point of contact for the organization. The Patient Service Representative must have interpersonal skills and critical thinking to be successful in this… more
- Intermountain Health (Miles City, MT)
- …information on appropriate accounts to determine insurance coordination of benefits, pre-certification/ prior - authorization if not verified by PASC. Complete the ... all necessary demographic, financial, and clinical information from the patient or representative . **Practice Details:** This is a PRN position "As needed" **Shifts… more
- Intermountain Health (Wheat Ridge, CO)
- …on appropriate accounts to determine insurance coordination of benefits, pre-certification/ prior - authorization . Complete the Medicare Secondary Payer ... applicable. Verifies insurance to determine coordination of benefits and obtains authorization and/or referrals as required. Screens for non-covered services and… more