- Saint Luke's (Kansas City, MO)
- **Job Description** The Precertification Specialist is responsible for obtaining prior authorizations/pre-certifications, as required by third party payers, for ... regarding their benefits and expected out-of-pocket costs. + Obtains precertification /prior authorizations for in clinic procedures, testing, surgeries, injections,… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …care patients need to keep moving and keep enjoying their life. The Insurance Specialist - Precertification Spine is expected to provide the highest level of ... Medical Terminology + HIPAA Compliance Preferred Experience: 1 year of Insurance/ Precertification experience preferred, medical terminology, CPT and ICD 10 knowledge… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Referral Specialist , Centralized Referrals Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and ... sleep medicine and urology. Position Summary: The Referral and Precertification Specialists manages scheduling for specialty facilities and procedures, creates… more
- UNC Health Care (Goldsboro, NC)
- **Description** Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining authorizations from insurance ... payers electronically; call insurance companies as needed. 3. Initiates the authorization/ precertification process for referrals in Epic. 4. Update the referral… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Utilization Management Specialist , Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health ... Forbes "Best Employer" seven times. Position Summary: The Utilization Management Specialist I will perform utilization management functions to include medical… more
- University of Colorado (Aurora, CO)
- **Pre-Authorization Specialist ** **Description** **Univers** **ity of Colorado Anschutz Medical Campus** **Department: Orthopedics** **Job Title:** **Position #:** ... by the FREE value-added recruitment advertising agency (https://www.jobelephant.com/) Pre-Authorization Specialist - 38475 University Staff The Orthotics Pre-Authorization … more
- Henry Ford Health System (Detroit, 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
- Penn Medicine (Philadelphia, PA)
- …Are you living your life's work? **Job Title:** Preregistration Specialist **Department:** Ophthalmology Pathology Admin Personnel **Location:** Penn Presbyterian ... 39th Street **Hours:** Mon-Fri office hours **Summary:** + The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual… more
- Brockton Hospital (West Bridgewater, MA)
- …the lives and health of our patients. Position Summary: Financial Clearance Specialist ensures all necessary information is proactively obtained and verified for ... Location: 750 W. Center Street, West Bridgewater, MA Department: Financial Clearance Specialist This is a part-time 24 hour/ week position Responsibilities: +… more
- Abbott (Plano, TX)
- …location in **Plano, TX** currently has an opportunity for a **Patient Therapy Access Specialist ** (PTA). This is an in office 5 days a week position. Preferred ... hours 8am to 5pm. As a PTA Specialist you are responsible for facilitating and assisting Abbott patients with the pre-certification, pre-determination and… more
- Bon Secours Mercy Health (Greenville, SC)
- …excellence. **Primary Function/General Purpose of Position** The Surgery Scheduling Specialist is responsible for accurately scheduling all inpatient and outpatient ... scheduled procedures and any changes to the schedule. The surgery scheduling specialist would be responsible for verifying patient benefits and precertification … more
- Penn Medicine (Philadelphia, PA)
- …3535 Market Street, Philadelphia** **Hours: Full-Time** Summary: + The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual ... financially clearing inpatient and outpatient based procedures. The Pre-Registration Specialist is responsible for insurance verification, benefit obtainment, and … more
- Providence (Santa Rosa, CA)
- **Description** Associate Patient Services Specialist at Providence Santa Rosa Memorial Hospital in Santa Rosa, CA. This position is Per Diem and will work 8-hour, ... accurate demographic information, verifying insurance benefits and eligibility, obtaining authorization/ precertification for services provided, and collecting patient liability prior… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …where associates want to work and help communities thrive. **Scheduling Specialist - Kenwood Vascular Surgery - Anderson** **Job Summary:** Coordinates and ... provider and non-provider payers and communicates to patient, physician, precertification , and other appropriate departments. Maintains statistical data for… more
- Saint Francis Health System (Tulsa, OK)
- …Sundays (weekdays as needed)** **8:00am - 4:30pm** Job Summary: The Authorization Specialist I directly impacts the billing and collections functions of the revenue ... Reviews clinical documentation for CPT/diagnosis code information to support authorization/ precertification according to payer guidelines. Accurately monitors, reviews and… 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
- 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
- Children's Clinics (Tucson, AZ)
- …of AHCCCS, CRS, and private insurance guidelines + Knowledge of precertification , referrals, and prior authorization + Knowledge of medical terminology, CPT, ... and ICD-10 codes and practices + Skill and proficiency in using Microsoft Office Suite + Ability to maintain confidentiality of patient, personnel, and corporate data + Ability to cross reference data to assure accuracy and completeness + Ability to post… more
- UCHealth (Pueblo, 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 (ABN)… more
- Beth Israel Lahey Health (Cambridge, MA)
- …Analyzed clinical documentation in support of ordered procedure(s) and submitted precertification requests through various insurance fax lines, phone systems, and ... web portals. Follow up on pending accounts and involve ordering provider offices as needed to obtain approvals. + Escalates challenging accounts to provider representative to ensure accounts are approved at least two weeks prior to patient appointment/surgery.… more