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This position is also responsible for verifying patient insurance, confirming benefits eligibility, performing pre-authorization, pre-certification, and/or notification as required by third party providers.
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The Patient Access Representative is responsible for promoting and demonstrating Parrish Healthcare’s Culture of Choice®; timely and accurate processes associated with pre-registration, insurance verification, pre-certification, and insurance notification.
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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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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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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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Review clinical documentation and submit to insurance companies for initiation and obtaining authorization or pre-certification on OP diagnostic hospital services. This includes registration, scheduling patients and/or pre-registration functions.
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Experience as a mentor, preceptor, clinical instructor, adjunct faculty, or other responsibility role with pre-certification nursing assistants, pre-licensure nursing students and/or new graduate nurses.
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Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians. Assists patients in completing all necessary forms to obtain hospitalization or Surgical pre-certification from insurance companies.
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Experience as subject matter expert in one or more of the following areas ideal: Patient Medical Billing, Medical Coding, Transcription/Dictation, Medical Records, Pre-Certification, and Patient Access.
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Perform insurance verification and pre-certification follow up for prior day’s walk in admissions/registrations and account status changes by assigned facility. Follow scripted benefits verification pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information.
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The Ambulatory Office Specialist is responsible for the Patient Access functions for ambulatory services identified in the ambulatory setting, including, but not limited to, facility based scheduling, pre-registration, registration, insurance verification, pre-certification, work queues, and financial clearance, under the direction of the practice mangers/directors.
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Contacts insurance carrier(s) to obtain all information necessary for the successful billing of 3rd party payers (coordination of benefits, benefit coverage / limits, co - pay / deductible amounts, authorization, pre - certification and referral requirements etc.
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Ensures that all aspects of the admissions process (i.e., signing, verification, pre-certification, facility tour, and signature on release and consent. Manages referral, intake, verification, pre-certification, and admissions processes; conducts or arranges for facility tours.
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For unfunded or under-funded patients, follows the Charity Care Policy & Procedure; obtains pre-certification when necessary. Obtains pre-certification when necessary. Copies and distributes intake form and Clinical Liaison’s pre-admission assessment (patient evaluation.
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Successful completion of Michigan Medicine’s 12-week training program is required or some experience as an Ophthalmic Technician is required. Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.
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patient experience pre certification jobs Title: coordinator scheduling in Bentonville, Kansas
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