- Bon Secours Mercy Health (Sheffield Village, OH)
- …planning, and quality/performance improvement. Fulfills all requirements for advanced pre - certification and continuing treatment authorizations with third-party ... party payers according to contractual obligations. Performance measured by documented pre - certification /continuing certification number or letter, specifying… more
- Community Health Systems (Flowood, MS)
- …as appropriate. + Reviews and verifies personal and insurance information for pre - certification orders, including CPT and ICD codes, obtaining clinical details ... + Contacts insurance companies to secure prior authorization and logs all pre - certification orders in tracking systems and SOAP notes when necessary. + Performs… more
- Guidehouse (Los Angeles, CA)
- …required signatures on legal consents and insurance forms. + Performs required pre - certification , credit referral or deposit collection. Enters data in computer ... thoroughly documents any incomplete admissions/registrations in manner prescribed. Obtains pre - certification , referral or authorization number and updates… more
- Select Medical (West Orange, NJ)
- …discretion and independent judgment, the Payor Relations Specialist manages the pre - certification and prior authorization of referrals scheduled for admission ... and mentoring team as needed.Obtains timely authorization of all patients requiring pre - certification and is accountable for conversion percentage and results.… more
- New Directions Youth and Family Services (Amherst, NY)
- …to placement. In this role, you will conduct home studies, lead pre - certification and training programs, facilitate matches, and collaborate with community ... media, community partners, and referral sources + Conduct information sessions, pre - certification programs, and additional foster/adoptive parent training +… more
- Mount Sinai Health System (New York, NY)
- …service. + Responsible for the Verification of patient demographics and obtaining pre - certification from insurance carriers for all OR surgeries and procedures ... flow of patient care, but not limited to registration, scheduling, pre /post follow-up patient calls. Contact insurance providers to obtain preauthorization for… more
- Penn Medicine (Philadelphia, PA)
- …or clinic delivery when required. Determines patient's insurance requirements for pre - certification and faxes all information required to insurance companies ... to ascertain an authorization number for pre - certification for specialty pharmacy and discharge concierge patients. Works closely with Clinical Pharmacists,… more
- Mayo Clinic (Rochester, MN)
- …ability to navigate medical records, value based purchasing metrics, or pre - certification helpful. Additional nursing experience in specialty area beneficial. ... for flexible coverage. + Vision: Affordable plan with national network. + Pre -Tax Savings: HSA and FSAs for eligible expenses. + Retirement: Competitive retirement… more
- Trinity Health (Pontiac, MI)
- …hospital policies, prevailing regulatory and third party requirements (MSP questionnaire, pre - certification process, consent forms, etc.) 6 Recognizes and ... performing the Patient Access process, completing accurate registration and pre -registration process and insurance verification for eligibility, scheduling for… more
- Methodist Health System (Dallas, TX)
- …Payer(s) in a timely manner to obtain, monitor, expedite, and track pre -authorization/ pre - certification requests for planned services. Monitors changes in ... of medical coverage, along with notification, prior authorization, and/or pre -determination of healthcare benefits for proposed medical services, to ensure… more