- Beth Israel Lahey Health (Burlington, MA)
- …financial reimbursement for high-dollar patient care is analyzed and submitted to insurance companies for approval prior to the patient's date of service. ... Collaborate with insurance companies when necessary to proactively validate benefits, eligibility,...is complete and verified with the patient or patient representative . + Verifies the guarantor type and information and… more
- Intermountain Health (Brighton, CO)
- …required forms. Verify information on appropriate accounts to determine insurance coordination of benefits, pre-certification/prior- authorization . Complete the ... Verifies insurance to determine coordination of benefits and obtains authorization and/or referrals as required. Screens for non-covered services and waiver of… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …access to specialty medications. This role is essential in verifying insurance coverage, identifying payer requirements, and facilitating prior authorizations. The ... authorizations, step therapy, and specialty drug restrictions. . Determine whether prior authorization reviews are handled by the payer directly or by a third-party… more
- Cedars-Sinai (Los Angeles, CA)
- …procedures, including collection and reconciliation of payments. Verifies insurance eligibility, assesses benefits and authorization requirements, ... **Job Description** The Senior Patient Service Representative - PACT (Float Pool) at Cedars-Sinai Medical...flow and satisfaction. + Uses in-depth knowledge of healthcare insurance and benefits to assess authorization requirements… more
- TEKsystems (Westminster, CO)
- …require referrals or authorization . + Serve as a cardiology representative to referring physician offices, insurance carriers, and patients-providing clear, ... Imaging Scheduler, you'll be the hub that connects patients, referring providers, insurance partners, and our cardiology team. You'll ensure every diagnostic imaging… more
- Brockton Hospital (West Bridgewater, MA)
- …patient contact information is complete and verified with the patient or patient representative . + Verifies the guarantor type and information and ensures it is ... to the account correctly. This includes personal/family relations, workers compensation insurance , third parties, behavioral health or others as required. + Ensures… more
- Medtronic (New Brunswick, NJ)
- …physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully ... Must have a valid driver's license and active vehicle insurance policy. In addition, your driving record will be...federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information… more
- University of Miami (Miami, FL)
- …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Business Operations Representative 2 Hybrid Option Available The ... Neurology has an exciting opportunity for a Full Time Clinical Business Operations Representative 2 to work at the UHealth Medical Campus. The Clinical Business… more
- Highmark Health (Pittsburgh, PA)
- …of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and ... all necessary data to assure timely, accurate bill submission. + Verifies insurance information through payor contacts via telephone, online resources, or electronic… more
- State of Colorado (Crowley County, CO)
- …and dental health plans; + Short and long term disability coverage; + Paid life insurance ; + 11 paid holidays per year plus vacation and sick leave; + Wellness ... years of date of hire) + Adult Basic Education Authorization (ABE) + Colorado Interim Authorization (out...the official appeal form, signed by you or your representative . This form must be delivered to the State… more