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Notify parents of the need for completed insurance referral form or pre-authorization prior to scheduled/unscheduled appointments. Verify insurance information is complete prior to procedure and collect and verify pre-authorization/referral information: goal is to obtain authorizations 5 days in advance of service.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Billing PreparationReconcile schedules for upcoming clinic session to include ensuring that accounts are set up for billing and services requiring authorization are flagged: Activity should be completed 3-4 days in advance of clinic session; Areas with procedures requiring authorizations work standard may be 5-7 days.
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Verify insurance information is complete prior to procedure, and collect and verify pre-authorization/referral information: Obtain authorizations 5 days in advance of service; Interface with insurance companies as needed; Document activity in "account notes" following standards set by department; Complete complex authorization process for IP services.
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Case management services include: triage and referral, transition of care planning, end of life care planning, other acute and catastrophic case management These services are offered to members and their families who have acute and complex health care needs; members with chronic conditions at risk for poor health outcomes and members who are terminal and nearing end of life.
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Responsible for resolving all outstanding alerts on pending appointments at the time of patient arrival, to minimally inc lude: Mi ssing Referral Missing Pre-certification/Authorization Self Pay Accounts Eligibility Verification Missing Demographic/Insurance Information Medstar and/or Georgetown University Hospital specific requirements.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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To be qualified for this position, you must have 3 years of healthcare experience with full cycle payor navigation, claims and billing, healthcare registration, insurance referral and prior authorization processes.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Notify parent of the need for completed insurance referral form or any pre-authorization of treatment prior to scheduled appointment; discuss co-payment or payment in full requirements; counsel or refer parent to central business operation's financial counseling or establish a payment plan.
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This may also include insurance coverage verification, obtaining authorization for services requiring pre-certification or referral, collecting payments, and/or preparing charts/paperwork for patient visits.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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As a Rehabilitation Admissions Liaison PRN you will develop and foster positive relationships with ongoing and potential referral sources. Maintaining a working knowledge of insurance authorization and benefits requirements for rehabilitation services for programs, facilities and payers is expected.
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We will provide the Social Security Administration, and if necessary, the Department of Homeland Security, with information from each new employee's Form I-9 to confirm work authorization. Prefer knowledge of the behavioral health marketplace, insurance plans, target markets and referral sources, psychiatric and chemical dependency treatment and, age-specific programming.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Educates and trains others on insurance theory, verification, and authorization/referral processes; Collaborates with colleagues, other managers and team leaders to solve cross-departmental issues and conflicts.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Maintains a thorough knowledge of all insurance requirements to ensure precertification, referral & authorization is obtained from contracted payers. The Patient Access Representative is responsible for all registration and financially related data collection when a patient arrives at the facility.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Reconcile schedules for upcoming clinic session to include ensuring that accounts are set up for billing and services requiring authorization are flagged: Activity should be completed 3-4 days in advance of clinic session; Areas with procedures requiring authorizations work standard may be 5-7 days.
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Certified Authorization Professional (CAP), Certified Information Systems Auditor (CISA), Certified in Risk and Information Systems Control (CRISC) Highlights of our benefits include Health/Dental/Vision, 401(k) match, Flexible Time Off, STD/LTD/Life Insurance, Referral Bonuses, professional development reimbursement, maternity/paternity leave, mobile phone stipend, pre-tax commuter benefits, the opportunity to participate in our mentorship program, and more.
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