- UpvoteDownvoteShare Job
- Suggest Revision
The Pre-Certification and Scheduling Specialist is responsible for the following tasks:Precertification/Prior Authorization & Scheduling:o MRI o PT/DME o Surgery o In Office Injections The Pre-Certification and Scheduling Specialist is responsible for completing the pre-authorization and scheduling process for MRI and surgery.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Description :The Prior Authorization Specialist works with departments and insurance companies to obtain the necessary pre-certifications and authorizations for services ordered/scheduled by Gundersen Health System.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Required Qualifications Three years prior experience in a clinical setting working with patient scheduling, benefit verification, pre-authorization, and a high level of patient interaction.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
In addition, the Prior Authorization Specialist I may be responsible for pre-appointment registration and insurance review to maximize the submission of a clean claim. The Prior Authorization Specialist I is responsible for obtaining and resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, ancillary and clinic/ambulatory environments.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
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.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Assists in scheduling exams and ensuring pre-authorization is obtained prior to performing exams. About the Job Location: New Hanover Medical Group Department: NHMG-Myrtle Grove Radiology Full Time Equivalent: FTE: 0.1 Work Type: 1 to 31 Hours Pay Period Work Schedule: 8 HR Day Exempt from Overtime: Exempt: No What You'll Do Summary: Under the general direction of the Radiology Manager this individual performs Computerized Tomography, X-ray and bone density procedures to assist physicians in the diagnosis of disease and injuries.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Complete initial pre-authorization for treatment and admission prior to admission, when possible, and within payor timeframe guidelines. Schedule (when applicable) and complete pre-admission assessments, consult with the admitting physician and communicate disposition recommendations to the patient or their family.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Identifies all patients requiring pre-certification or pre-authorization at the time services are requested or when notified by another hospital or clinic department. Responsible for securing patient data based upon comprehensive data elements, financial education/counseling, insurance verification, provision of clinical information for pre-certification, authorization and third party claims management.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Arrange and confirm all pre-certification requirements including insurance prior-authorizations, referrals, and medical clearances. The Lead Surgical Coordinator schedules, pre-certifies, verifies and documents procedure for Operating Room and Ambulatory Surgery Center as well as outside hospitals and surgery centers for patients.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Prior experience in surgical services or critical care is strongly preferred; including pre-op care, sedation administration and post-sedation monitoring/care. This department at Duke Raleigh Hospital cares for our surgical patients; pre and post-operatively.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
In the outpatient setting, support staff include a registration representative and pre-certification specialist to manage scheduling and prior authorization needs, and a medical assistant who helps triage patient calls and coordinate communication with families.
$250ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Facilitates, administers Health Plan clinical operations functions-prior authorization, Part A and B services, Medication Reviews, HEDIS and STARs quality gap closure, promoting membership growth.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Minimum of one (1) year of relevant work experience (i.e. hospital billing, coding or prior pre-authorization experience) preferred. GENERAL SUMMARY: The Insurance Verification and Authorization Specialist is responsible for verifying patient insurance and benefits and obtaining prior authorization for scheduled medical services and hospital admissions following payer specific guidelines.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Verifies pre-authorization requirements and follows up with both the referring physician and payer to ensure authorizations are on file for the scheduled procedure prior to date of service.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Communicate to the clinic about pre-authorization requirements and any updates. Inform patients on any prior authorization approvals or denials and the next step. 3+ years of healthcare front reception verification of benefits, prior authorization, and/or financial navigation experience in a fast-paced, customer-focused environment.
$25 - $30 an hourExpandApply NowActive JobUpdated Today
pre authorization prior jobs Title: clinician in Forest-lake, Minnesota
FEATURED BLOG POSTS
How to Gracefully Quit a Job You Just Started
You’ve just started learning the ropes at your new job, and you've gotten to know your colleagues. But you’re already thinking about quitting. Maybe you were deciding between to job offers and realized that you’ve made the wrong choice. Or, a change in your personal circumstances means that you have to quit.
How to Professionally Reschedule a Job Interview Without Destroying Your Chances
You’ve practiced answering common interview questions and refined your “greatest weakness.’ Nothing can stop you until BAM! The flu hits your household. Or you ran over a nail and popped a tire en route to the interview. When you need to pivot, there’s a good, better, and best way to reschedule a job interview. Here’s how to do it professionally, so you can nail the gig when the timing is right.
What is a W-9 and How to Fill One Out
When you began working for yourself, you probably didn’t account for the tax reporting work that will fall on your shoulders each year. If you’re a freelancer, independent contractor, or business owner, filing your taxes is not as simple as uploading your W-2 form into some online tax preparation software. Most self-employed people need to complete a W-9 as a step for accurately reporting their earnings to the IRS. Below, you can learn how to fill out a W-9 and when to submit it.
A Comprehensive Guide to Becoming a Better Conversationalist
Have you ever stood awkwardly next to someone at a party because you didn’t know what to say to them? How about at a networking event or on a first date? You're not alone if you’ve ever experienced this uncomfortable silence. Many people struggle to master the art of being a great conversationalist.
Making Hybrid Work More Efficient
Covid was a catalyst for change in the work environment. Keeping people safe and helathy was the initial goal for employers, but the unintended result was the considerable demand in remote work. Now, onsite work has been dramatically altered to remote work, which is now transforming into a combination of the two: hybrid work.
How Can HR Technology Help Retain Employees?
Human resources' rapid adoption of technology has led to new ways of streamlining human capital management. Based on the IEE Global Study, these technologies changed how HR handled recruitment and retention in 2022. This includes tech like
Why is Time Management Important? 10 Crucial Importances of Time Management
We’ve all been there before. What starts as a relaxing evening scroll quickly becomes a full-blown binge. You blink, and it’s midnight - throwing off your entire next day before it even starts. And at its worst, this indulgence might leave you feeling behind on things you planned to finish that night. This is why time management is important.