- Truman Medical Centers (Kansas City, MO)
- …financial resources. Validates financial and insurance information, obtains appropriate pre - certification and authorization for services, collects co-pays; ... completes all admission/registration paperwork. Required: + High school diploma or equivalent required + Experience in clerical, patient contact, hospital business office or insurance + Communication skills required to interview patients and families, to… more
- Nuvance Health (Danbury, CT)
- …reports (contract management) files and records as needed; ie, medical records, referrals, pre - certification letters etc. 5. Advises other areas of updated ... insurance information and claim denials; ie, registration. 6. Follows through with education of rules and regulations in the managed care system, as well as, State & Federal guidelines. 7. Adjusts account balances to specific account needs; ie, capitated labs.… more
- Penn Medicine (Plainsboro, NJ)
- …tasks that such as verifying eligibility, obtaining benefits, ensuring pre - certification and/or authorization/referral requirements have been completed + ... Demonstrating flexibility and adaptability to fast-paced, changing work environments + Demonstrating and appropriately documenting out of pocket responsibility for services as related to insurance contracts or PCHS Fee Schedules Collecting time of service and… more
- Penn Medicine (Plainsboro, NJ)
- …tasks that such as verifying eligibility, obtaining benefits, ensuring pre - certification and/or authorization/referral requirements have been completed + ... Demonstrating flexibility and adaptability to fast-paced, changing work environments + Demonstrating and appropriately documenting out of pocket responsibility for services as related to insurance contracts or PCHS Fee Schedules + Collecting time of service… more
- St. Luke's University Health Network (Allentown, PA)
- …variances, aspects of patient care management. + Facilitates insurance authorization, pre - certification , and concurrent reviews for assigned patients. + ... Maintains clinical records of all patient contact and clinical reviews, according to hospital policy and other regulatory guidelines (ie, State, JCAHO). Documentation is completed in a professional and timely manner and includes interventions, recommendations,… more
- St. Luke's University Health Network (Allentown, PA)
- …variances, aspects of patient care management. + Facilitates insurance authorization, pre - certification , and concurrent reviews for assigned patients. + ... Maintains clinical records of all patient contact and clinical reviews, according to hospital policy and other regulatory guidelines (ie, State, JCAHO). Documentation is completed in a professional and timely manner and includes interventions, recommendations,… more
- Parkview Health (Fort Wayne, IN)
- …with bed tracking, scheduling, and ED software preferred. Experience in pre - certification , utilization, or case management desirable. Previous coding experience ... desirable. Other Qualifications: Excellent communication skills (oral and written). Ability to work independently, inter-dependently, and set priorities. Qualified RN's will receive: + Competitive Rate of pay + Additional Flex Premium (If applicable) + Sign-On… more
- Mount Sinai Health System (New York, NY)
- …surgeries; reviews encounter forms for accuracy. May be responsible for obtaining pre - certification for scheduled surgeries and admissions. 19. May approve ... Patient Keeper work queue for inpatient encounters. 20. May be responsible for collection of time of service payments, and maintaining daily transaction record of collected payments. 21. May prepare TOS deposits in Sinai Central. 22. Maintains working… more
- 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
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …up calls are made to those failing to show up for appointments + Pre - certification is obtained in accordance with insurance requirements + Administration is ... notified of problems or significant events + Safety problems are identified and corrective actions taken Requirements Bachelor's degree preferred or previous experience of 1 year in Behavioral Health. Customer Service experience. Flexible Great communication… more