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Develops and maintains reference manuals that outline the individual payer requirements as it relates to pre-certification and pre-authorization needs. May provide back-up pre-certification/prior authorization resources for other departments as needed.
$17.15 - $21.44Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The Assistant Director of the Pre-Access Service Center will be responsible for maintaining effective and efficient operations of all workflows that relate to scheduling, pre-registration and pre-certification for the RWJ Health System.
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The CMA supports efficient movement of patients to post-acute facilities including Skilled Nursing Facilities (SNF), Long-term Acute Care Hospitals (LTACH), Inpatient Rehab Facilities (IRF) and Intermediate Care Facilities (ICF) by receiving task triggers to create referrals; transmit to post-acute care provider facilities via HIPAA secure platform and triggering facility pre-certification initiation, or initiates pre-certification as directed.
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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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Attempts to mediate daily scheduling, pre-registration, pre-certification or registration issues and elevates any issues that cannot be resolved independently. Resolves all outstanding Alerts on pending appointments within 48 hours of the scheduled appointment to minimally include: Missing Referral Missing Pre-certification/Authorization Self Pay Accounts Eligibility Verification Missing Demographic/Insurance Information.
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Assessment Specialist - Registered Nurse (RN) PRN Opportunity. Psychiatric Nurse Residency Program for our newly licensed nurses. Additionally, we offer specialized treatment for active duty military members through our Military Resiliency Program, specialized chemical dependency treatment and TMS therapy for chronic depression.
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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. Verify insurance benefits and determine pre-certification/authorization status via online or other resources.
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Verify all insurance and obtain pre-certification/authorization. Education assistance (tuition, student loan, certification support, dependent scholarships) 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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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. Referral services for child, elder and pet care, home and auto repair, event planning and more.
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Arranges pre-certification and authorization with third party payers as necessary. Arranges and confirms pre-certification and authorization with third party payers when necessary.
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Performs pre-registration functions and insurance eligibility verification. Contacts patients to perform pre-registration, including demographic verification, conveyance of insurance benefits, and estimates of liabilities.
$15ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Pre/Post OR RN - TGH/ ASC Ambulatory Surgical Center - Morsani. TGH is accredited by The Joint Commission and was awarded disease-specific certification in five medical specialties. 1 year of Pre/Post Operating Room experience required.
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Supports, directs and refers patients for consults and/or testing and insurance pre-certification and documentation. Additionally, prefer a certification, such as: Registered Medical Assistant (RMA) through American Medical Technologist (AMT) Certified Medical Assistant (CMA) through American Association of Medical Assistants (AAMA) OR equivalent Medical Assistant Credential such as (Certified Clinical Medical Assistant CCMA, etc.
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IF RT(R): Graduate of an accredited Cardiovascular Technologist Program resulting in certification OR graduate of an accredited Radiological Technologist Program and currently registered by ARRT. IF RN: Graduate of an accredited Nursing program with current RN license.
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Performs medication reconciliation, enters allergy reaction type, processes refills within the scope of their certification. Greets patients and/or family, performs routine pre-examination procedures including vital signs, assessing and recording objective and subjective data concerning presenting condition.
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