- University of Rochester (Rochester, NY)
- …system along with all third-party payer systems. + Obtain benefits; pre - certification requirements and/or completes notification of admissions. + Document ... demographic and insurance information in a timely, accurate manner in the hospital computer system following department and hospital standards. + Identify and confirm uninsured and underinsured patients for appropriate referral to Medicaid Enrollment &… more
- Banner Health (Torrington, WY)
- …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
- 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
- Texas Health Resources (Plano, 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
- Penn Medicine (Plainsboro, NJ)
- …but is not limited to verifying eligibility, obtaining benefits, ensuring pre - certification and/or authorization /referral requirements to have been completed. ... Refers patient to Medicaid Screener or Financial Counselor as needed. + Demonstrates flexibility and adaptability to changing work environment. Demonstrates willingness to meet the needs of departmental operations effectively as an individual and Team Member +… more
- CVS Health (Phoenix, AZ)
- …team. * The Care Management Associate will review eligibility and benefits and open pre - certification cases and either approve or send to nursing staff for ... review. * The Care Management Associate role include: * Responsible for initial review and triage of Care Team tasks. * Identifies principal reason for admission, facility, and member product to correctly apply intervention assessment tools. * Screen patients… 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
- Penn Medicine (Philadelphia, PA)
- …off boxes in different areas of the hospitals. + Maintains knowledge of pre - certification to provide back-up coverage. + Performs registrations, charge entry and ... payment posting as assigned. + Maintains current knowledge of third party carrier regulations. + Non-essential Accountabilities + Maintain systems necessary for proper organization of work. + Organizes work so that in the event of absence someone else can… 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
- WMCHealth (Port Jervis, NY)
- …Other: Knowledge of diagnostic and specialty procedures preferred. Knowledge of insurance pre - certification requirements, ICD- 10 required. Knowledge of ability ... to utilize skills specifically related to conflict management required. The ability to use multiple software systems within Bon Secours required. About Us: Bon Secours Community Hospital For nearly a century, Bon Secours Community Hospital in Port Jervis, NY,… more