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Sentara Martha Jefferson Hospital is hiring an Authorization Coordinator II - Full Time Day schedule. Ability to properly obtain insurance eligibility, member benefits, obtain authorizations and complete pre-registration for the services requested.
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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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As an Insurance Specialist, you will provide expertise in insurance pre-certification and authorization of services by calling insurance companies and patients to verify insurance information.
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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.
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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.
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Minimum of 1 year of specialized training in a health care setting with demonstrated knowledge of insurance verification and working knowledge of authorization and pre-certification process preferred.
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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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Possess skill in preparing and maintaining appropriate medical record documentation that will result in authorization at the level of care being requested of the payor. License Clinical Therapist- LMSW, LLMSW, LPC LLPC.
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Obtains and insure pre authorization. HCA Healthcare's other New Hampshire hospitals include Portsmouth Regional Hospital and Frisbie Memorial Hospital in Rochester, as well as freestanding emergency rooms in Seabrook and Dover.
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Castle Biosciences Inc. is growing, and we are looking to hire a Pre-Billing Prior Authorization Specialist working from our Friendswood, TX office location, with a preferred start date of July 16, 2024.
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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.
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As a key member of Workforce Identity, Authentication and Authorization(IAA) you will play a vital role in ensuring the secure and compliant implementation of various solutions (Hybrid and Cloud.
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Works closely with the physician office staff to ensure that pre-cert/pre-authorization numbers are obtained & entered in the registration system. When the ordering physician has completed the pre-certification, documenting the authorization and releasing the account.
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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. Work closely with the physician office staff to ensure that pre-cert/authorization numbers are entered in the scheduling or registration system.
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Obtains pre-authorization from insurance companies for CT scansConfirmation of X-Ray exam in PACS and ensuring report is available in the patient’s chart. Obtains pre-authorization from insurance companies for CT scansConfirmation of X-Ray exam in PACS and ensuring report is available in the patient’s chart.
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pre authorization jobs Company: Tenet Call Center Ops in Forest-lake, Minnesota
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