- Healthfirst (PA)
- …Oversees utilization management functions which include timely authorizations related to pre - certification , concurrent review, referrals, and other plan services ... + Develops and monitors goals for staff; provides ongoing feedback and coaching; conducts annual performance reviews; leads by example; and ensures an atmosphere of open communication, teamwork, and ownership and empowerment to make informed decisions +… more
- Intermountain Health (Harrisburg, PA)
- …appropriate accounts to determine insurance coordination of benefits, may include pre - certification /prior authorization . + Assists patients in completing ... necessary forms to meet regulatory and billing needs prior to receiving clinical care. Scans necessary paperwork and educates patient on financial assistance. Proactively requests payments from patients on current and past medical services. Receives and… more
- WellSpan Health (Chambersburg, PA)
- …supervision of the technologist. Promptly verifies order changes with registration ( pre - certification ). 8. Obtains relevant and accurate patient history using ... standardized form prior to exam; routinely screens female patients of child-bearing age [10-60 years of age per department policy]; assure history form is signed by all patients; thoroughly explains procedures and equipment to patient; obtains written consent… more
- St. Luke's University Health Network (Allentown, PA)
- …variances, aspects of patient care management. + Facilitates insurance authorization, pre - certification , and concurrent reviews for assigned patients. + ... Maintains clinical records of all patient contact and clinical reviews, according to hospital policy and other regulatory guidelines (ie, State, JCAHO). Documentation is completed in a professional and timely manner and includes interventions, recommendations,… more
- Penn Medicine (Philadelphia, PA)
- …- Shift 1) **Responsibilities:** + Determines patient insurance requirements for pre - certification , patient payments and coverage limitation and the necessary ... action(s) prior to discharge. + Maintain communication with ambulatory based clinical pharmacist, social worker, discharge and specialty pharmacy program team members as needed to obtain complete, accurate financial information required for claim adjudication.… more
- Penn Medicine (Philadelphia, PA)
- …understanding of CPT and ICD-9 coding, third-party payer billing processes, pre - certification requirements, and the overall revenue cycle. Solid understanding ... of the purchasing cycle (quote, requisition, purchase order, invoice, payment) and experience using ordering systems. Preferred master's degree MBA or MHA And Leadership experience in a large integrated healthcare delivery system that uses an integrated… more
- Trinity Health (Langhorne, PA)
- …service. + Verifies _insurance_ benefits and checks for the necessity of pre - _certification_ , authorization and referral. + Performs medical necessity checks where ... needed. + Secures patient signatures for required _hospital_ forms and collection of patient's financial responsibility when required. + Is responsible for providing professional, quality customer service, timely resolution to customer problems, and… more
- US Army Corps of Engineers (Philadelphia, PA)
- …service. Male applicants born after December 31, 1959, must complete a Pre -Employment Certification Statement for Selective Service Registration. You will be ... Credential (TWIC); and Must possess a valid Standards of Training Certification and Watchkeeping (STCW) Endorsed as an Able Seafarer-Deck. (Note: Applicants… more
- US Army Corps of Engineers (Philadelphia, PA)
- …service. Male applicants born after December 31, 1959, must complete a Pre -Employment Certification Statement for Selective Service Registration. You will be ... and Maintain Hand Tools (Electrical Work) Trouble shooting (electrical) Licensing/ Certification (Selective Placement Factor): In addition to meeting the experience… more
- US Army Corps of Engineers (Philadelphia, PA)
- …service. Male applicants born after December 31, 1959, must complete a Pre -Employment Certification Statement for Selective Service Registration. You will be ... Safely (Non-Motor Vehicle) Reliability and Dependability as a Third Mate Licensing/ Certification (Selective Placement Factor): In addition to meeting the experience… more