- Penn Medicine (Philadelphia, PA)
- …shape our future each day. Are you living your life's work? Job Title:RN Pre Certification Case Manager Department: Business Operations - PMC Location: Penn ... required clinical and demographically information to payer to obtain pre - certification and assure reimbursement.Identify potential quality and utilization… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? **Summary:** + Obtain pre - certification and referrals for inpatient and same day encounters. Verification of ... services provided. **Responsibilities:** + Determines patients insurance requirements for pre - certification , patient payments and coverage limitation and… more
- Penn Medicine (Lancaster, PA)
- …scheduler. + Prior pre -authorization experience. + Bi-lingual Spanish . + Insurance pre - certification experience. + Knowledge of CPT codes and ICD codes and ... assistants, and or other specialists' schedules. + Obtains necessary pre -authorizations for all procedures. + Assists in the preparation...prior to the day of the procedure. + Reviews pre procedure checklist to verify all required tests are… more
- Penn Medicine (Philadelphia, PA)
- …As an Insurance Verification Rep, you will be responsible for obtaining pre - certification and referrals for inpatient and same day encounters. Verifying ... optimal reimbursement for the hospital for services provided. Responsibilities: + Obtaining pre - certification and referrals for inpatient and same day encounters… more
- Penn Medicine (Berwyn, PA)
- …or clinic delivery when required. Determines patient's insurance requirements for pre - certification and faxes all information required to insurance companies ... to ascertain an authorization number for pre - certification for specialty pharmacy and discharge concierge patients. Works closely with Clinical Pharmacists,… more
- Community Health Systems (Wilkes Barre, PA)
- …as appropriate. + Reviews and verifies personal and insurance information for pre - certification orders, including CPT and ICD codes, obtaining clinical details ... + Contacts insurance companies to secure prior authorization and logs all pre - certification orders in tracking systems and SOAP notes when necessary. + Performs… more
- Penn Medicine (Philadelphia, PA)
- …or clinic delivery when required. Determines patient's insurance requirements for pre - certification and faxes all information required to insurance companies ... to ascertain an authorization number for pre - certification for specialty pharmacy and discharge concierge patients. Works closely with Clinical Pharmacists,… more
- Penn Medicine (Radnor, PA)
- …or clinic delivery when required. Determines patient's insurance requirements for pre - certification and faxes all information required to insurance companies ... to ascertain an authorization number for pre - certification for specialty pharmacy and discharge concierge patients. Works closely with Clinical Pharmacists,… more
- Penn Medicine (Philadelphia, PA)
- …clinical and demographic information to payer to obtain the proper authorization/ pre - certification for the services being rendered. + Identifies potential ... Equivalent Experience: + HS Diploma/GED (Required) + 3-5 years minimum of Pre - certification experience (Required) + Associate of Arts or Science (Preferred) We… more
- UPMC (Pittsburgh, PA)
- …as assigned. + Act as liaison between patient and referring physicians. + Obtain pre - certification and/or referral prior to the date of the procedure. + ... and coordinate financial arrangements prior to surgery including the collection of pre -payments. + Ensure that informed consents are signed. + Provide patients with… more
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