- Northwest Florida Community Hospital (Chipley, 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
- Houston Methodist (FL)
- …Management and Patient Access Departments in providing appropriate CPT codes for pre -admission and pre - certification requirements including the inpatient ... AND CERTIFICATIONS** **Required** + For inpatient/outpatient coding: RHIT, RHIA, or CCS certification from AHIMA is required + For professional fee coding: CPC from… more
- Cleveland Clinic (Stuart, FL)
- …the achievement of optimal clinical and resource outcomes. + Facilitate pre - certification and payer authorization processes. + Facilitate the collaborative ... license to practice as a Registered Nurse (RN) in Florida + Case Manager Certification (CCM) required within one year of eligibility + Six years of experience in… 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
- Akumin (FL)
- …is responsible for verifying patient insurance benefit and eligibility. Requests and loads pre - certification approval for consults and follow up visits. Records ... and indexes all benefit and certification information into the EMR according to documented work...for employment will be required to successfully complete a pre -employment background + check and drug screen as a… more
- Northwest Florida Community Hospital (Chipley, FL)
- …process, healthcare billing and reimbursement, insurance verification and pre - certification , medical terminology, financial counseling and negotiating ... of any job offer will be contingent upon successful completion of all pre -employment requirements, to include undergoing a pre -employment drug screening, and… more
- AdventHealth (Wesley Chapel, FL)
- …patient transfers from other facilities. Updates patient accounts with hospital pre - certification numbers, admission dates, and postoperative days to ensure ... and coordinates cases requiring multi-specialty surgeons or assistants. Correlates pre -admission testing and surgical clearance appointments, assisting patients and… more
- Evolent (Tallahassee, FL)
- …delivery team to maintain high-quality, cost-effective care delivery. + Perform pre - certification utilization reviews of **Oncology treatment requests** + ... is also eligible for a bonus component that would be dependent on pre -defined performance factors. As part of our total compensation package, Evolent is proud… more
- Elevance Health (Miami, FL)
- …medical directors or delegated clinical staff. + Conducts and may approve pre - certification , concurrent, retrospective, out of network and/or appropriateness of ... experience. + Current active, valid and unrestricted LPN/LVN or RN license and/or certification to practice as a health professional within the scope of licensure in… more
- Elevance Health (Tampa, FL)
- …members to appropriate providers, programs or community resources. + Conducts pre - certification , retrospective, out of network and appropriateness of treatment ... applicable state(s) required. + BA/BS or higher in a health related field or certification as a care manager preferred. + Knowledge of medical management process and… more