- Beth Israel Lahey Health (Plymouth, MA)
- …using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to ... management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not meet established guidelines for… more
- Houston Methodist (The Woodlands, TX)
- …one time + Understands medical terminology at a high level and has knowledge of insurance requirements for physician visits and procedures + Ability to manage a ... At Houston Methodist, the Senior Insurance Verifier position is responsible for obtaining and recording eligibility and benefit information for patients receiving… more
- Surgery Care Affiliates (Long Beach, CA)
- …Coverage guidelines in contacting patient's prior to the date of service to review , Physician Ownership, Advance Directives and Patient Rights. Authorization: + ... Obtain authorizations from insurance companies/ physician offices. Ensure complete and accurate information is entered into the patient accounting system and the… more
- Travelers Insurance Company (Carson City, NV)
- …Medical Consortiums and other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. ... which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State regulations and medical… more
- US Physical Therapy (Lynchburg, VA)
- …and strive to always demonstrate the Rehab Associate Way and Family Code. + Understand insurance and stay up to date on the plans that we participate with or work ... with more often. + Consistently bill for your assigned insurance groups at least once a day. Secondary + and tertiary insurance should be batched at a minimum of… more
- Avera (Sioux Falls, SD)
- …Work where you matter.** **A Brief Overview** Responsible for ensuring insurance eligibility, benefit verification, and the authorization processes are complete in ... the time allowed by the insurance companies to prevent denials or penalties. Specialists are...necessary paper/electronic referrals, authorizations and pre-certifications from Primary Care Physician and/or Specialty Physician when required by… more
- UHS (Johnson City, NY)
- …ideal candidate brings strong communication skills and a thorough understanding of insurance requirements. You'll review clinical documentation to confirm it ... Services (UHS) is seeking a detail-oriented and proactive Commercial Insurance Liaison to join our team. In this critical...in data processing + Certified home care and/or utilization review work experience Why You'll Love Working at UHS… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Manager Insurance position is responsible for managing and supporting the establishment and maintenance of agreements with best in class ... insurance brokers, consultants, actuaries, and insurance companies....engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on… more
- HCA Healthcare (Sarasota, FL)
- …satisfaction and personal growth, we encourage you to apply for our Medical Insurance Verifier opening. We promptly review all applications. Highly qualified ... and integrity. We care like family! Jump-start your career as a Medical Insurance Verifier today with Surgery Ventures. **Benefits** Surgery Ventures offers a total… more
- HCA Healthcare (Austin, TX)
- …provides satisfaction and personal growth, we encourage you to apply for our Insurance Verifier PRN opening. We review all applications. Qualified candidates ... Do you have the PRN career opportunities as an Insurance Verifier PRN you want with your current employer?...office functions, or billing duties in a hospital or physician practice setting required Consider a fulfilling and secure… more