- HCA Healthcare (Davie, FL)
- …charts are completed and accurate + Verify all insurance and obtain pre - certification /authorization + Calculate and collect patient liability amounts + Ensure ... + Assign Insurance Plans (IPlans)accurately + Verify insurance benefits and determine pre - certification /authorization status via online or other resources. If … more
- HCA Healthcare (Kissimmee, FL)
- …charts are completed and accurate + Verify all insurance and obtain pre - certification /authorization + Calculate and collect patient liability amounts + Ensure ... + Assign Insurance Plans (IPlans)accurately + Verify insurance benefits and determine pre - certification /authorization status via online or other resources. If … more
- Northwest Florida Community Hospital (Vernon, FL)
- …process, healthcare billing and reimbursement, insurance verification and pre - certification , medical terminology, financial counseling and negotiating ... include Patient Safety Performance Standards for the identified population served below: + Pre -term/High Risk Neonate + Neonate (newborn to 28 days) + Pediatric (One… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …referred by the prior-authorization non-clinical medical management coordinator and pre - certification technician staff according to member benefits, provider ... availability, and pre -determined medical necessity criteria. + Clearly and succinctly presents cases to ensure quality care while advocating for appropriate… more
- AdventHealth (Orlando, FL)
- …Teams, ensures the team is performing accurate scheduling, verification of benefits, pre -authorization and pre - certification of Imaging exams. + Workflow: ... Current FL License as General Radiographer Required + Computed Tomography ARRT(CT) certification This facility is an equal opportunity employer and complies with… more
- Ascension Health (Destin, FL)
- …schedules. + Assist with coordination of activities related to insurance pre - certification /authorization. + Provide counseling to patient, participant or their ... representative regarding pre -service requirements and instructions. **Requirements** Education: + High School...cumulative job specific experience required. + Note: Required professional licensure/ certification can be used in lieu of education or… more
- HCA Healthcare (Jacksonville, FL)
- …all functions of your patient admissions + Perform and document insurance pre - certification , verification and interviews for your patients prior to surgery ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
- Healthfirst (FL)
- …such as: Pre -existing Conditions, Prior Approval, Medical Necessity, Pre - certification , Continued Stay, Reduction, Termination, and Suspension of services. ... The end-to-end process requires the Specialist to independently: + Research issues + Quality of Care Experience + Reference and understand HFs internal health plans policies and procedures to frame decisions + Interpret regulations + Resolve cases and make… more
- Justice, Bureau of Prisons/Federal Prison System (Tallahassee, FL)
- …annual reports, medical referrals for treatment to other BOP facilities and pre - certification requests. Along with all other correctional institution employees, ... be completed at a college or university that has obtained accreditation or pre -accreditation status from an accrediting body recognized by the US Department of… more
- Houston Methodist (FL)
- …Management and Patient Access Departments in providing appropriate CPT codes for pre -admission and pre - certification requirements including the inpatient ... only process. Assists in the development of documentation protocols for physicians. Represents the coding area in Hospital meeting/events when necessary (eg, Performance Improvement Committees). **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Maintains and achieves… more