- St. Luke's University Health Network (Quakertown, PA)
- …with seclusion/restraints. + Supports the function of utilization management regarding pre - certification process for all intakes and consults. + Assists ... in the update of referral / resource information and other data collection projects as requested by the Manager. + Monitors the therapeutic environment as necessary. + Other related duties as assigned. PHYSICIAL AND SENSORY REQUIREMENTS: Sitting for up to 5… more
- Cleveland Clinic (Cleveland, OH)
- …patient condition and respond appropriately. + Navigate insurance verification and pre - certification processes for behavioral health carve-outs. + Provide ... psychoeducation to family and significant others of patients and other co-working caregivers about behavioral health, de-escalation and/or other related topics to assist in the current plan of care. + Serve as a patient advocate. + Process referred cases to… more
- Catholic Health Services (Port Jefferson, NY)
- …Access Services functions. Required skills include: + Understanding of insurance, pre - certification requirements and medical terminology. + Strong computer ... skills. + Customer focus with strong interpersonal skills; problem-solving skills; + The ability to handle confidentiality appropriately; demonstrate professionalism + Strong written and verbal communication skills; and the ability to multi-task. Salary Range… more
- AnMed Health (Anderson, SC)
- …benefits and eligibility using insurance verification software and/or payer websites. + Verify pre - certification is complete, if required. + Place ID band on all ... patients after confirming the two hospital identifiers: patient name and date of birth. + Identify any co-pays, deductibles and out-of-pocket amounts, and then initiate up front collections. + Notify clinical area by phone, fax or by printing Outpatient… 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
- Penn Medicine (Philadelphia, PA)
- …Basic understanding of CPT and ICD-9 coding, third-party payer billing processes, pre - certification requirements, and the overall revenue cycle (Required). + ... Solid understanding of the purchasing cycle (quote, requisition, purchase order, invoice, payment) and experience using ordering systems (Required). We believe that the best care for our patients starts with the best care for our employees. Our employee… more
- Penn Medicine (Plainsboro, NJ)
- …services and co-payments, payment reconciliation and deposit, processing referrals and pre - certification of procedures for a multi-specialty physician outpatient ... practice located in a hospital environment. Responsibilities: + Perform work accurately, thoroughly, and in accordance with departmental and PHCS/PHMA standards. Identify problems and refer them/offer suggestions appropriately. + Maintain a positive approach… more
- Addiction Recovery Care (Ashland, KY)
- …patient condition and responds appropriately. + Navigates insurance verification and pre - certification processes for behavioral health carve-outs. + Provides ... psycho-education to family and significant others of patients, as well as other co-working caregivers about behavioral health, de-escalation, and/or other related topics to assist in the patient's current plan of care. + Involves the patient/family (or… more
- Hartford HealthCare (Avon, CT)
- …coverage and obtains authorizations if needed from insurance carrier. Resolves pre - certification , registration and case-related concerns prior to a patient's ... appointment . Tracks and support patients when they obtain services outside the practice eg Emergency departments, Hospital and other health care facilities. . Monitors and meets PCMH referral processes. . Enters referrals and documents communications, actions… more
- Rush Copley Medical Center (Aurora, IL)
- …: Responsible for scheduling outpatient radiology services, outpatient registration, and pre - certification of insurance benefits. Answers incoming calls and ... fields them to the appropriate department or individual. Responds to general outpatient requests. **Position Requirements** : + High school diploma required; Associate's degree preferred. + Bilingual (Spanish) abilities highly desirable. + Must have excellent… more