- WMCHealth (Valhalla, NY)
- …knowledge of Advance Directives and Guardianship proceedings and laws. + Complete pre - certification of inpatient admissions with managed care companies as ... required. + Exhibit cultural competence by providing culturally appropriate assessments and disposition planning. + Serve as a patient advocate, acting in patients' best interest and maintaining confidentiality. + Adhere to hospital and departmental policies… more
- Banner Health (Fort Collins, CO)
- …the payors and documents appropriately. Assists in obtaining or validating pre - certification , referrals, and authorizations 3. Calculates and collects patient ... liability according to verification of insurance benefits and expected reimbursement. Explains and provides financial policies and available resources for alternative payment arrangements to patients and their families. 4. Enters payments/charges for services… more
- St. Bernard's Medical Center (Paragould, AR)
- …related tasks. Customer service skills must be strong. Experience with insurance pre - certification preferred. + Physical + Normal hospital environment. Close eye ... work. Hearing within normal range. Oral communication. Operates computer, copy machine, FAX, and printers. Some walking, bending, and stooping, but mostly continuous sitting. Lifting, carrying, pushing and pulling up to 20 lbs. + This is a safety sensitive… more
- Catholic Health Services (West Islip, NY)
- …party coverage to patients + Responsible for patient referrals and pre - certification /authorization for outpatient tests and/or inpatient procedures + Communicate ... with other ancillary staff for proper insurance requirements + EPIC deposit tool: reconcile daily copayments and complete weekly cash deposit + Serve as a resource for staff including all aspects of billing + Handle patient billing inquiries + Collect patient… more
- Banner Health (Mesa, AZ)
- …the payors and documents appropriately. Assists in obtaining or validating pre - certification , referrals, and authorizations 3. Calculates and collects patient ... liability according to verification of insurance benefits and expected reimbursement. Explains and provides financial policies and available resources for alternative payment arrangements to patients and their families. 4. Enters payments/charges for services… more
- WestCare Foundation (Buckhannon, WV)
- …the financial and operational health of the organization. Essential Job Functions: + Pre - certification of insurance clients + Completes and records initial and ... subsequent nursing assessment of each patient's physical and mental status according to program protocols using interview, observation skills, and physical assessment techniques and communicates findings verbally and/or via written documentation + Writes and… more
- Banner Health (Phoenix, AZ)
- …the payors and documents appropriately. Assists in obtaining or validating pre - certification , referrals, and authorizations 3. Calculates and collects patient ... liability according to verification of insurance benefits and expected reimbursement. Explains and provides financial policies and available resources for alternative payment arrangements to patients and their families. 4. Enters payments/charges for services… more
- Baylor Scott & White Health (Waco, TX)
- …financial information to determine insurance coordination of benefits, pre - certification /prior-authorization requirements by contacting the insurance company ... or through other verifying technology Informs self-pay patients of prepayment requirements or screens for funding sources Prepares estimate of procedures, calculates advance payment requirements, informs patient of acceptable payment arrangements on previous… more
- FlexStaff (Lake Success, NY)
- …and interacts with third party payers to obtain approval of hospital days, pre - certification and post-discharge eligibility in relation to clinical course + ... Ensures compliance with current state, federal, and third party payer regulations + Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient + Serves as a liaison to patient, family,… more
- Texas Health Resources (Denton, TX)
- …correct network coverage and obtains and/or validates healthcare benefits and/or pre - certification for applicable tests and/or procedures. These efforts maximize ... reimbursement for services rendered. * Educates patients and/or families about applicable legal, ethical, and compliance documents; ensures regulatory consents are signed by the appropriate parties. * Engages with patients in understanding their financial… more