- 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
- Parsons Corporation (Richardson, TX)
- …PS&E). + Professional Engineer (PE) registration in Texas is preferred. + TxDOT pre - certification preferred. + Experience interfacing with TxDOT is preferred. + ... Solid foundational knowledge of basic software such as MicroStation, OpenRoads Designer, ProjectWise, Bluebeam, and Microsoft Office Suite. + Experience in Geometry design, corridor modeling, and plan production using Bentley OpenRoad Designer. **Security… more
- BJC HealthCare (St. Louis, MO)
- …in various radiology areas. **Responsibilities** + Obtains insurance information and pre - certification room referring physician or insurance company. + Maintains ... files and records on all patients, coordinates transportation for inpatients, and performs patient procedure follow-up as instructed. + Coordinates the flow of all examinations by working closely with the radiologists, technical staff and the referring… more
- BrightSpring Health Services (Colorado Springs, CO)
- …+ Home infusion experience a plus + Knowledge of insurance verification and pre - certification procedures + Solid Microsoft Office Suite skills + Strong verbal ... and written communication skills + Ability to independently obtain and interpret information + Knowledge of CPR+ software a plus + Working knowledge of medical terminology + Percentage of Travel: 0-25% **To perform this role will require frequently sitting,… more
- St. Luke's Health System (Boise, ID)
- …with insurance carriers to clarify policies, coverage limitations, and pre - certification requirements. Coordinates with clinical teams, insurance companies ... and Patient Financial Navigators to address insurance denials and manage appeals. + Educates patients on insurance benefits, financial responsibility, and alternative coverage options. + Provides updates on authorization status to clinical teams, oncologists,… more
- Texas Health Resources (Bedford, 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