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We are currently recruiting a Pre Certification Specialist to join us at our Mercy West Care center in Cincinnati, OH. This is a Full-time position, Monday- Friday with benefits. We are currently recruiting a Pre Certification Specialist to join us at our Mercy West Care center in Cincinnati, OH. This is a Full-time position, Monday- Friday with benefits.
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The Pre-Certification Specialist is responsible for processing referrals for services and obtaining needed authorizations from the patient’s payor source. A Pre-Certification Specialist is responsible for collecting all information needed, to properly notify and obtain authorizations from all of the patient’s payor sources and be able to effectively communicate.
$23 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Makes written and/or verbal inquiries to third party payers to verify insurance status and obtain pre-certification. Creates patient pre-registration accounts in the electronic system to allow for the addition of notes to an account.
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Are you an experienced Pre Certification specialist with knowledge of processing Pre Certs for Radiology Procedures and Diagnostic Imaging? Pre- Certification (1 year of experience is required.
$22 an hourTemporaryRemoteExpandUpdated 1 month ago - UpvoteDownvoteShare Job
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By becoming a pre-certification specialist, you will work directly with physician staff to ensure all patient needs are handled in a timely manner. Check scheduling system for new patients that will require insurance pre-certification.
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5 years of experience in pre-certification and utilization management review. Communicates with other hospital departments, physician offices, and insurance companies to ensure hospital compliance with medical necessity and pre-certification requirements.
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The Pre-Certification Specialist ensures that authorization is obtained when needed for the length of the hospital stay and/or outpatient services. POSITION SUMMARY The Pre-Certification Specialist is responsible for obtaining insurance authorization and insurance benefit eligibility verification for patients at Trinity Health in a prompt and accurate manner.
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Communicate all pre-certification and/or authorization denials with MEE Financial Counselors and clinical areas. This individual will be responsible for understanding all payer requirements and supporting the pre-certification/authorization process for all outpatient, surgical and ancillary procedures with the insurance carriers.
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The Pre-Certification and Scheduling Specialist is responsible for completing the pre-authorization and scheduling process for MRI and surgery. The Precertification and Scheduling Specialist is expected to provide the highest level of service to patients, fellow employees, and outside sources through ensuring that insurance benefits and pre-certification is complete, accurate, timely, and fully documented.
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Serves as a resource for staff and physicians regarding prior authorization and pre-certification policies and procedures. The Prior Authorization/Pre-Certification Coordinator is responsible for performing prior authorizations, pre-certifications for surgeries, pre-collecting funds as appropriate, and other office procedures as necessary.
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This role involves completing insurance verification and pre-certification of a patient's insurance coverage. Experience in insurance verification and pre-certification processes.
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In addition, provide customer-focused service and provide support to patient flow in a unit or department to include: 1) patient registration, 2) patient scheduling, 3) patient billing, 4) pre-certification (collect insurance information; receipt of co-pays or bill payments), 5) medical records retrieval, release, or collection, and 6) data entry.
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Performs insurance verification and pre-certification follow up for prior day’s walk in admissions/registrations and account status changes by assigned facility. Follows scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information therein.
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The Pre-Certification Specialist is responsible for pre-certification of patient appointments and procedures according to DMEI protocol. The Pre-Certification Specialist will primarily work in an office setting but may be required to walk to other areas of the clinic and may be exposed to contagious illnesses due to patient interactions.
Full-timeExpandApply NowActive JobUpdated 30 days ago - UpvoteDownvoteShare Job
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Under the management of the Manager, Patient Access, the Pre-Certification Representative I is responsible to determine insurance eligibility and, as appropriate benefits, pre-authorization / pre-certification and medical necessity requirements based on patient specific insurance.
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pre certification jobs Company: Anthem
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