- Tufts Medicine (Stoneham, MA)
- …review and resolution. 8. Collaborates with Financial Coordination and Pre -Registration colleagues regarding patients with identified financial risk concerns for ... resolution prior to services being rendered. 9. Obtains all applicable clinical documentation when required by insurance payers for elective services and submits information to payers within a timely and secured manner. 10. Closely follows case statuses and… more
- BJC HealthCare (St. Louis, MO)
- …and scheduling for a cardiology office. Ideal candidates will have some exposure to pre certification or prior authorization . Schedule: M-F 8 AM-4:30 PM ... **Additional Information About the Role** Missouri Baptist Hospital is seeking a Pre Certification to join our team! This role will be handling pre… more
- Trinity Health (Syracuse, NY)
- …faithful to who we say we are. **POSITION SUMMARY:** The Patient Access Authorization Lea directly impacts the revenue cycle by accurately processing data relating ... to insurance, authorization and demographic information following unit specific policies while...paid for all procedures being performed. **EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:** This position requires two years of… more
- Avera (Sioux Falls, SD)
- …review of physician orders and diagnosis, pre -calling, insurance verification, authorization and financial counseling. The Coordinator has primary day-to-day ... Staff are completing financial clearance of patients through Insurance Verification, Authorization and Financial Counseling/ Pre Arrival Collections as outlined… more
- BJC HealthCare (St. Louis, MO)
- …is responsible for ensuring that the organization has the appropriate insurance benefit, pre - certification and pre - authorization information for patients ... Utilizes multiple platforms and/or vendor-based applications to investigate and determine benefits, pre - certification , and pre - authorization status. +… more
- HCA Healthcare (Austin, TX)
- …patient and living donor benefits with patient's insurance. + Determines if pre - certification is required for evaluation, transplant admission and/or follow-up ... as needed. + Communicates with insurance case manager regarding the pre - certification process. + Sends required patient information to case management.… more
- State of Massachusetts (Brockton, MA)
- …supervision to assigned CYF Case Manager(s) and coordinate referrals from Service Authorization to providers and case managers. The CYF Supervisor position is a ... . Provides direct case supervision and consultation to assigned Human Services Coordinator I(s) to ensure compliance with established standards of care for Case… more
- HCA Healthcare (Lone Tree, CO)
- …Manager, and Radiology Director supervises all aspects of the radiology pre - authorization systems this includes: Insurance verification, scheduling and ... **Introduction** Do you have the career opportunities as a(an) Radiology Administrative Coordinator PRN you want with your current employer? We have an exciting… more
- HCA Healthcare (Denver, CO)
- …Manager, and Radiology Director supervises all aspects of the radiology pre - authorization systems this includes: Insurance verification, scheduling and ... invested over 156,000 hours volunteering in our communities. As a(an) Radiology Administration Coordinator PRN with HCA HealthONE Rose you can be a part of an… more
- Select Medical (West Orange, NJ)
- …Using discretion and independent judgment, the Payor Relations Specialist manages the pre - certification and prior authorization of referrals scheduled for ... expectations by working and mentoring team as needed.Obtains timely authorization of all patients requiring pre - certification...include but not limited to CEO, DBD, CLs, Admissions Coordinator and Case Management team that may help grow… more
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