- Banner Health (Casper, 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
- Fresenius Medical Center (Waipahu, HI)
- …via Internet, prints out and includes in registration packet. + Performs pre - certification on all non-Medicare patients before treatment is initiated. + ... Works closely with billing personnel to obtain and verify all necessary information for billing purposes. + Researches any questions related to charge sheets and files charge sheets in financial records. + Distributes copies of all billing information and… 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
- 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
- Beth Israel Lahey Health (Westwood, MA)
- …appropriate, coordinates referrals with hospital's discharge planner and registration and pre - certification admitting department as required by the insurance ... company.** **Provides referral management training and oversight to department new hires. Contributes as a managed care resource for everyone on the unit including all patients, physicians, social workers, nurses, practice assistants, and support staff.**… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to work at our Hingham location 2x/month. 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
- Catholic Health Initiatives (The Woodlands, TX)
- …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
- Cleveland Clinic (Vero Beach, FL)
- …patient condition and respond appropriately. + Navigate insurance verification and pre - certification processes for behavioral health carve-outs. + Provide ... psychoeducation to family, significant others of patients and other co-working caregivers about Behavioral Health, de-escalation and/or other related topics. + Involve the patient/family (or designee) and other current providers in developing a plan of care… 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
- 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