- Aveanna Healthcare (Seal Beach, CA)
- …upon receiving information from the clinical team for services that require pre certification /authorization * Work proactively with insurance carriers to ensure ... that all of the required information for payment has been received in a timely fashion. * Communicate and advise the clinical team on any changes in insurance companies reimbursement practices related to the authorization of process. * Ensure submissions are… more
- Providence (Missoula, MT)
- …use of hospital resources. The position is responsible for patient pre - certification according to departmental and interdepartmental policies and procedures ... while adhering to the patient focused admission process. The Quality Management Reviewer demonstrates job related skills in a safe, appropriate, effective and timely manner. Promotes a safe environment of care, to reduce risks and maintain safety in the work… more
- Northwell Health (Staten Island, 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
- Catholic Health Initiatives (Omaha, NE)
- …for answering phone calls and scheduling patient appointments. + Conduct patient pre - certification to ensure coverage for appointments and medical care. + ... Schedule tests, procedures, and referral appointments. + Communicate with patients regarding appointments and instructions for procedures and tests + Collect insurance information and patient personal data. + May collect fees such as co-pays / co-insurance.… more
- AdventHealth (Tampa, FL)
- …with Hospital Authorization departments to obtain insurance verification, notification, pre - certification , authorization and obtaining reference numbers (as ... appropriate) for all patients undergoing surgical procedures, endoscopic procedures, testing and infusions within the hospital as well as clinic setting. Insurance Authorization Representative will work closely with all members of the physicians' teams to… more
- Banner Health (Tucson, 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
- Bon Secours Mercy Health (Oregon, OH)
- …appointments as requested. Collects and accurately documents initial pre - certification /authorization information if available when scheduling. Demonstrates ... problem solving skills related to scheduling, financial clearance and patient liability. Interfaces with other key internal and external staff to obtain necessary information. Demonstrates the willingness and ability to work collaboratively with others for… more
- Novant Health (Winston Salem, NC)
- …experience in patient access, registration, billing, cash collection, insurance and/or pre - certification in a medical environment, preferred. One year Customer ... Service experience in any field, preferred. One year of clerical experience in medical office setting. Other related experience may be considered in lieu of medical office experience, preferred. + Additional skills required: Demonstrated knowledge of insurance… more
- Houston Methodist (Houston, TX)
- …secure by reviewing and documenting benefits, patient liabilities, authorization/ pre - certification requirements, notification requirements, and other relevant ... information. + Monitors and tracks authorizations, including ensuring accurate Current Procedural Terminology (CPT) codes, location of service performed and expiration dates. + Communicates to resolve patient access and quality service matters. Responds… more
- Houston Methodist (Houston, TX)
- …secure by reviewing and documenting benefits, patient liabilities, authorization/ pre - certification requirements, notification requirements, and other relevant ... information. Assists with resolving electronic health record (EHR) work queues that support insurance verification. Generates reports and assists with department correspondence as directed. + Initiates authorization for services as needed utilizing clinical… more