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Requirments:Must have a high school diploma or equivelantMust have at least 6 months of prior authorization/pre certification experience Must have EPIC experience Schedule:This is a full time Monday-Friday 9am-5pm or 10am-6pm.
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Obtains benefit verification and home health or hospice pre-certification/pre-authorization on all patients in a timely manner. Acts as liaison between OMSI and health plans or HMOs to ensure compliance with pre-certification or authorization to facilitate reimbursement.
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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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Coordinates both the Verification of Benefits and Authorization/Pre-Certification/documentation (PA) processes for patients by: Verifying insurance coverage by calling the insurance company or using online eligibility systems to determine the patient's benefits under the insurance plan.
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Establishes payment plan arrangements for patients per established Advent Health policy; clearly communicates due dates and amount of each installment. Accurately enters required authorization information in Advent Health systems to include length of authorization, total number of visits, and/or units of medication.
$18 - $23.34Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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Medical billing/coding experience or pre-authorization experience preferred. Wondering what a day in the life of a Pre-Authorization Specialist at The Iowa Clinic might look like.
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Obtaining pre-authorization for procedures, answering office phones. Obtaining pre-authorization for procedures. A scheduling coordinator is needed to ensure timely follow-up, scheduling necessary pre-surgical testing, obtaining prior authorization for procedures, and to ensure patient satisfaction with timely process.
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Fax all information required to insurance companies to ascertain an authorization number for pre-certification. Assists in establishing policies and procedures specific to the financial aspects of the Concierge Services Program including indigent drug program, Patient Assistance Programs, and pre-certification standard operating procedures.
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Processing of time sensitive authorization and pre-certification requests to meet department timeframes and regulatory requirements; Computer Input: Accurately and completely process referrals/authorizations in the UM system of record; Identify duplicate requests using claims to verify existing authorization.
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Works with the Executive Director on revenue enhancements and process improvement projects and facilitates the resolution of complex issues impacting compliance, revenue and daily front end processes within the Mass General Brigham and Faulkner Prior Authorization Team and Denials and Appeals Departments.
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Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology Primary Care, Adult-Gerontology Acute Care, Acute Care Nurse Practitioner, Pediatric, Neonatal, Psychiatric Mental Health or Women's Health Nurse Practitioner.
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Insurance verification and pre-authorization. SSM Health Physical Therapy - Outpatient Division. knowledge of health insurance preferred. Must be willing to float/travel into St. Louis County and surrounding counties, including Jefferson county, St. Charles county and Warren county.
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Collaborates with professionals, health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necessary, to investigate and facilitate resolution of individual grievances and appeals.
$93,000 a yearPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Licensed Mental Health Therapist is responsible for working with CDMHP’s, inpatient facilities, including Western State Hospital, and ensuring proper protocols are followed for hospitalization authorization and during discharge planning.
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pre authorization health plan jobs Title: clinician in Forest-lake, Minnesota
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