- 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
- First Atlantic Health Care (South Portland, ME)
- …Communicate admission information to facilities in a timely manner. + Obtains pre - certification from insurance companies, as needed + Promote excellent customer ... service skills and role-model consistently. + Maintain excellent working relationships with all internal and external colleagues Skills and Abilities + Excellence in your work is a priority + Excellent typing skills and be proficient E-mail, Calendars, and… more
- University of Rochester (Albany, NY)
- …meet their hospital obligation. + Serves as an information channel for obtaining pre - certification approvals for elective and other inpatient stays, as required ... by third-party payors. Refers cases appropriately to physicians and Utilization Review for additional follow-up on medical information needed. + Interviews responsible parties to determine credit status as a tool for securing patient accounts. Verifies… more
- Atlantic Health System (Pompton Plains, NJ)
- …documentation for involuntary, voluntary and pediatric psychiatric admissions. 04. Pre - Certification : Complete all required insurance authorizations and ... follow-up as needed to obtain coverage for the needed level of care. 05. Family Intervention: a. Complete collateral information gathering and analysis when clinically indicated. b. Provide family intervention, support and psychoeducation pertaining to the… more
- Sea Mar Community Health Centers (Federal Way, WA)
- …strong working knowledge of managed care plans, insurance carriers, referrals and pre - certification procedures. Also required is a strong working knowledge of ... CPT, ICD-9, ICD-10, HCPCS, modifiers, coding and documentation guidelines. Strong customer service, organizational and communication skills are essential to this position. In addition, strict adherence to write-off policies, refund policies and other accounts… more
- Mount Sinai Health System (New York, NY)
- …billing errors (when applicable). 4. Contact insurance carriers for patients pre - certification ; consults with Department/Practice Manager with respect to ... patients needs or addressing escalated issues. 5. Provides front-end coverage as needed; records telephone encounters for routing to appropriate Providers. 6. Works as liaison with Physicians, patients and clinical staff to connect patients with relevant… 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
- Texas Health Resources (Dallas, 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
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …1-3x/month at our location in Hingham, MA. Key Responsibilities: + Conduct pre - certification , concurrent, and retrospective reviews with emphasis on utilization ... management, discharge planning, care coordination, clinical outcomes, and quality of service. + Evaluate members' clinical status, benefits, and appropriateness for programs and sites of service to develop a cost-effective, medically necessary plan of care. +… more
- Super Soccer Stars Coaching (Waterford Township, MI)
- …and pass Michigan comprehensive background check. + Must have CPR/First Aid Certification . + Experience working with Pre -School Age Children (preschool teachers, ... culture that thrives on excitement, encouragement, development, and teamwork. As a Pre -School Sports Coach you will be required to travel to different schools… more