- Community Health Systems (Victoria, TX)
- …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
- CACI International (Houston, TX)
- …and executing tests, analyzing test results, and generating related documentation for pre - certification of cFS/RTEMS Class A safety critical FSW. This position ... Developer's Guides, Software Development Plans, and Configuration Management Plans for FSW pre - certification packages. This work takes place at NASA/JSC in… more
- Houston Methodist (Houston, TX)
- …pre -register patients timely in the electronic health record (EHR) so pre - certification , authorization, and verification of insurance benefits can be obtained ... and urgency of patient service requirements as needed. May also provide pre -registration services. + Obtains valid and compliant orders and schedules patients based… more
- TEKsystems (Plano, TX)
- …actions as directed by Physician. + Obtain necessary insurance authorization and pre - certification from insurance company with the proper Procedure (CPT) and ... representatives and/or equipment necessary for procedure. + Provide patient with pre -operative testing information ordered by physician. + May be required to… more
- Elevance Health (Grand Prairie, TX)
- …+ Documents the results of the initial clinical review and determination in the pre - certification system. + Conducts initial medical necessity review of out of ... as required by law._ The **Case Reviewer** is responsible for conducting pre -authorization, out of network and appropriateness of tests by utilizing appropriate… more
- Houston Methodist (Houston, TX)
- …pre -register patients timely in the electronic health record (EHR) so pre - certification , authorization, and verification of insurance benefits can be obtained ... and urgency of patient service requirements as needed. May also provide pre -registration services. + Obtains valid and compliant orders and schedules patients based… more
- Methodist Health System (Dallas, TX)
- …Payer(s) in a timely manner to obtain, monitor, expedite, and track pre -authorization/ pre - certification requests for planned services. Monitors changes in ... of medical coverage, along with notification, prior authorization, and/or pre -determination of healthcare benefits for proposed medical services, to ensure… more
- Providence (Lubbock, TX)
- …2 years of Medical office experience dealing with scheduling, telephone calls, prior pre - certification / pre -authorization, as well as using an electronic ... of the clinic in order to facilitate proper handling of patients requiring pre -certifications, referrals, RQI numbers or any kind of authorization from an insurance… more
- Justice, Bureau of Prisons/Federal Prison System (Three Rivers, TX)
- …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
- Ascension Health (Lockhart, TX)
- …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