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The Pre-Certification Specialist is responsible for contacting health insurance companies prior to procedures, testing or admission to the hospital to verify coverage either online or by telephone.
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The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of outpatient and ancillary services.
$18 - $22 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Facilitates admission to hospital based programs by communication with Program Coordinator, attending Physicians and completes pre-certification procedures. Initiates a collection and assessment of information for payers; completes pre-certification and continued stay authorization.
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Provides accurate and complete data input for pre-certification/pre-authorization requests. Documents pre-certification numbers as needed in Electronic Health Records (EHR) and files.
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Processes administrative and financial components of financial clearance including, validation of insurance/benefits, medical necessity validation, routine and complex pre-certification, prior-authorization, scheduling/pre-registration, patient benefit and cost estimates, as well as pre-collection of out of pocket cost share and financial assistance referrals.
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Performs job related functions including, but not limited to, facility based scheduling, bed planning, pre-registration, registration, insurance verification, pre-certification, point of service cash collection and financial clearance under the direction of the Supervisor/Manager/Director for these designated areas.
$38,000 - $60,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Prior authorization or Pre-certification preferred. Cary Medical Center has an exciting opportunity for a Prior Authorization Specialist to join our team. Request, follow up and secure pre-authorization prior to services being performed.
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Job Title: Prior Authorizations Specialist/Pre Certification. Review, evaluate, verify and process assigned clinic pre-certification requests for Inpatient, Outpatient and other clinic procedures performed by providers.
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Discusses with patients the details concerning their insurance coverage and financial implications of out-of-network benefits, including pre-determination of benefits, appeals and/or pre-certification limitations.
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One (1) year of experience in reception, customer service, and/or record keepingExperience in patient access, billing, cash collections, insurance, pre-certification requirements, or directly related hospital experience.
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3-5 years pre-certification processes and medical necessity guidelines preferred. Must be familiar with and remain current of insurance carriers and requirements to include a working knowledge of referral and pre-certification processes and medical necessity guidelines.
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Knowledge of registration, verification, pre-certification, and scheduling procedures. If you are qualified and interested in the Prior Authorization Specialist role, please apply today.
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Preference will be given to applicants with hospital experience or training, Child Life Specialist certification, and proficiency in Spanish. The Child Life Specialist will support hospitalized pediatric patients on our Pediatric Acute Care Medical unit (9N.
$31.17 - $42.16 an hour depends on experience (equity)Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Ensure all policies governing commercial pre-certification and authorization are followed to minimize financial risk. Obtain timely authorization of all patients requiring pre-certification and are accountable for conversion percentage and results.
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Current Certified Hyperbaric Technologist (CHT) or Certified Hyperbaric Specialist (CHS) certification preferred. Pre or post hire completion of Introductory Hyperbaric Training Course, as approved by the National Board of Diving and Hyperbaric Medical Technology, Department of Defense, American College of Hyperbaric Medicine or Undersea & Hyperbaric Medical Society.
$35.66ExpandApply NowActive JobUpdated Today
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