- Billings Clinic (Billings, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Pre - Certification Specialist (Full-time) PRE ... Wage:$17.15 to $21.44 per hour Responsible for the completion of pre - certification , prior authorization and notification for third party and government payers… more
- Mount Sinai Health System (Richmond, NY)
- **Job Description** **Referral and Pre - Certification Specialist - Radiology - Staten Island - Full Time - Day - OFFSITE** The Offsite Referral and Pre - ... Specialist is responsible for completing all referrals and pre - certification requirements according to established protocols. **Qualifications** +… more
- 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
- Tufts Medicine (Stoneham, MA)
- …review and resolution. 8. Collaborates with Financial Coordination and Pre -Registration colleagues regarding patients with identified financial risk concerns for ... resolution prior to services being rendered. 9. Obtains all applicable clinical documentation when required by insurance payers for elective services and submits information to payers within a timely and secured manner. 10. Closely follows case statuses and… more
- Penn Medicine (Philadelphia, PA)
- …Are you living your life's work? Schedule: Monday-Friday Summary: + Obtain pre - certification and referrals for inpatient and same day encounters. Verification ... members as necessary to help meet organizational goals. Maintain current knowledge about pre - certification process for all Federal, State, and 3rd party payors.… more
- Ochsner Health (New Orleans, LA)
- …(ie telephone, fax, internet) to determine eligible benefits and acquiring Pre - Certification (s) when deemed necessary by the insurance payor. Additionally ... responsible for communicating the liability to the patient after the Pre - Certification has been obtained and ensuring the Pre -Service process has been… more
- University of Virginia (Charlottesville, VA)
- POSITION SUMMARY: Obtains pre - certification for all inpatient admission and pre -authorization for all outpatient diagnostic tests and performs an ... proficient use of PC and UVA software systems to ensure that all pre - certification / pre -authorization information is entered into required computer systems in… more
- UNC Health Care (Chapel Hill, NC)
- …commercial insurance company to verify benefits and obtains prior authorization/ pre - certification for the transplant admission. Contacts government insurance ... the transplant admission. 3. Patient Counseling and Financial Management of Pre -Transplant Services - Discusses benefits and other transplant financial issues with… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …a MVP(motor vehicle accident) or WC (workman's comp) claim. Ensures that the pre - certification is obtained from the referring physician's office for any ... procedure requiring pre - certification and recorded within the RIS prior to the scheduled appointment. Reviews all outpatient requisition orders, any pertinent… more
- CaroMont Health (Gastonia, NC)
- …is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre - certification , authorization, and referral requirements are met prior to ... Job Summary: The Pre -Authorization Specialist is a member of the Utilization...for care, via phone, fax, or payer websites. The Pre -Authorization Specialist provides detailed and timely communication to both… more
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