- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …and other associated activities. + Manages the daily workflow of incoming pre - certification requests, ensuring they are appropriately allocated. + Manages the ... in Nursing, Public Health, Business, or Healthcare Administration preferred. Licensure/ Certification : + Active RN license required (state-specific or compact). +… more
- Bon Secours Mercy Health (Mason, OH)
- …non-standardized and standardized tests. Ensures completion of patient pre - certification /authorization requirements as needed. Demonstrates knowledge in ... Professional Experience Plan approved by the Ohio Board. Current CPR certification . Preferred: Lee Silverman Voice Treatment (LSVT) and vital stem training.… more
- HCA Healthcare (San Antonio, TX)
- …reimbursement. What you will do in this role: + You will obtain insurance pre - certification , verification, and interview patients prior to surgery + You will ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
- CVS Health (Springfield, IL)
- …predetermination reviews and reviews of claim determinations. + This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / ... and current state medical license without encumbrances *M.D. or DO, Board Certification in an ABMS or AOA recognized specialty including post-graduate direct patient… more
- Covenant Health Inc. (Oak Ridge, TN)
- …information upon scheduling and relays information on a weekly basis to pre - certification individuals; + Correlates patient and physician information within ... and reconciles with computer printout; + Prepares records for insurance certification and verifies reimbursement with insurance carriers; + Assist Departments with… more
- Northwell Health (Valley Stream, NY)
- …and interacts with third party payers to obtain approval of hospital days, pre - certification and post-discharge eligibility in relation to clinical course. + ... required, plus specialized certifications as needed. + Patient Review Instrument certification required. *Additional Salary Detail The salary range and/or hourly… more
- Mount Sinai Health System (New York, NY)
- …insurance information utilizing internal or web sources. May perform and verify pre - certification for procedures as necessary Provides training and mentoring to ... as a Medical Assistant in a busy practice is preferred. + BCLS certification - Required Issuing Authority: AHA **Responsibilities** Serves as a liaison between… more
- CommonSpirit Health Mountain Region (Englewood, CO)
- …District Attorney's office and CBO for payment of patient bills. + Obtains pre - certification and benefits from insurance companies for the admission or expected ... and credit scoring + High School Diploma or GED required + CPR Certification (as required by facility) Physical Requirements - Sedentary work -(prolonged periods of… more
- HCA Healthcare (Dallas, TX)
- …reimbursement. **What you will do in this role:** + You will obtain insurance pre - certification , verification, and interview patients prior to surgery + You will ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
- LA Care Health Plan (Los Angeles, CA)
- …Support to UM Specialist: Processing of time sensitive authorization and pre - certification requests to meet department timeframes and regulatory requirements; ... and documentation programs. Licenses/Certifications Required Licenses/Certifications Preferred Medical Coding Certification Required Training Physical Requirements Light Additional Information Required:… more