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Provides clinical information as needed, emphasizing medical justification for procedure/service to insurance companies for completion of pre-certification process. Authorizes and pre-certifies services by coordinating and performing activities required for verification and authorization of insurance benefits for services.
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Ensures that pre-certification and/or authorization and referral requirements have been completed by placing phone calls to insurance companies, physician offices, patients, and utilizing web based applications and/or internet resources; obtains clinical information from physician offices and/or Bryan system; contacts Health Information Management to obtain CPT and/or ICD-9 codes.
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Accurately documents relevant demographic, clinical, and financial information required for scheduling, pre-registration, and insurance verification using eCare (Cerner), TransUnion, and STAR.
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The Ambulatory Registrar is responsible for the Patient Access functions for outpatient services identified in the ambulatory setting, including, but not limited to, facility based scheduling, pre-registration, registration, insurance verification, pre-certification, and financial clearance under the direction of the Supervisor and Director of Ambulatory Registration for these designated departments.
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The Insurance Verification Specialist is responsible for verification of eligibility, insurance benefits, authorizations, pre-certification and payments of patients for all OBMC locations.
$31,000 - $54,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Verify insurance benefits and determine pre-certification/authorization status via online or other resources. Verify all insurance and obtain pre-certification/authorization.
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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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If pre-certification/authorization/notification of admission is required and has not been obtained, initiate via Passport, on-line or phone call. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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Education assistance (tuition, student loan, certification support, dependent scholarships) Understand/explain policies regarding services, pricing, insurance billing, and payment of account.
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You will also i nterview patients for all pertinent account information and verif y insurance coverage. Interview incoming patients, his/her relatives, or other responsible individuals to obtain identifying and demographical information with insurance and financial information.
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Secure all signatures necessary for treatments, release of medical information, assignment of insurance benefits, and payment of services from legally responsible parties. Obtain copies of necessary identification and insurance cards.
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Assign Insurance Plans (IPlans)accurately. HCA Healthcare Co-Founder. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country.
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Referral services for child, elder and pet care, home and auto repair, event planning and more. provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare.
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Family support through fertility and family building benefits with Progyny and adoption assistance. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
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Jump-start your career as a Customer Service Registrar today with Henrico Doctors' Hospital Parham. Henrico Doctors' Hospital Parham, offers a total rewards package that supports the health, life, career and retirement of our colleagues.
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insurance verification pre certification jobs
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