- University of Southern California (Alhambra, CA)
- …and outpatient accounts that are same day and next day add-ons. Determine if pre - certification , pre -authorization or a referral is required for insurance ... eligibility and benefits, b) Financial responsibility, c) Authorization and / or Pre - Certification as required. (20%) + Responsible for understanding and… more
- Ventura County (Ventura, CA)
- …appropriate, cost-effective, and high-quality care. The role involves conducting pre - certification , concurrent, and retrospective reviews; developing and ... are not limited to the following: + Performs utilization review with pre - certification , concurrent, retrospective, out of network and medical appropriateness of… more
- Elevance Health (Walnut Creek, CA)
- …regarding established guidelines and accepted standards of oncology care. + Document the pre - certification review in a complete, concise, and accurate manner in ... the pre - certification computer application. + Demonstrate and maintain current knowledge of new cancer treatment regimens. + As necessary, assist pre -… more
- Amazon (Los Gatos, CA)
- …risks or test failures - Develop and maintain testing protocols, pre - certification validation processes, and compliance documentation to support efficient ... teams and with compliance counterparts in other business units to align certification strategies and execution - Work closely with design teams to integrate… more
- Guidehouse (Los Angeles, CA)
- …required signatures on legal consents and insurance forms. + Performs required pre - certification , credit referral or deposit collection. Enters data in computer ... thoroughly documents any incomplete admissions/registrations in manner prescribed. Obtains pre - certification , referral or authorization number and updates… more
- University of Southern California (Newport Beach, CA)
- …in Keckcare for authorization submission from Medical/Nursing Staff + Submit pre - certification / pre determination documentation to third party payers/payers ... requirements for chemotherapy treatment authorizations and understand process for submitting pre - certification / pre - determination requests + Utilize Excel… more
- University of Southern California (Arcadia, CA)
- …of resources. Specific functions within this role include: facilitation of pre - certification and payer authorization processes, facilitation of the collaborative ... + Communicates with Financial Counselor to facilitate covered day reimbursement certification for assigned patients. Discusses payer criteria and issues on a… more
- US Military Entrance Processing Command (El Segundo, CA)
- …Information Male applicants born after December 31, 1959, must complete a Pre -Employment Certification Statement for Selective Service Registration. You will be ... degree was obtained. (Note: You must attach a copy of your certification .) Certification : Successful completion of the National Commission on Certification … more
- Sutter Health (Modesto, CA)
- …or injury. Demonstrates expert-level competencies and skills and possesses at least one pre -approved specialty certification in one of the many physical therapy ... patient caseload consists of patient population related to specialty certification . Using advanced clinical practice knowledge, responsible for assessing, planning,… more
- Select Medical (Los Angeles, CA)
- …backup as needed. + Obtain timely authorization of all patients requiring pre - certification and are accountable for conversion percentage and results. + ... Ensure all policies governing commercial pre - certification and authorization are followed to minimize financial risk. + Maintain relationship profile by payor… more