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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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The Authorization Coordinator is responsible for obtaining appropriate insurance pre-certification/preauthorization prior to the provision of scheduled infusion center services or treatments.
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Oversee a team responsible for executing pre-registration and prior authorization activities. o Continuously assess and improve pre-registration and prior authorization processes to enhance efficiency, effectiveness, and customer satisfaction.
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1+ year of medical insurance verification and pre-certification. Touchstone Medical Imaging is seeking an experienced, detail-oriented Patient Authorization Coordinator for our Tulsa, Oklahoma office.
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Communicates and collaborates with the Pre-Authorization Coordinator for: Cases that are not meeting medical necessity criteria for admission and continued stay reviews. Performing and submitting clinical information to external payers to secure proper authorization and ensures prompt notification of any denials to the appropriate Care Coordinator, Denials/Appeals Coordinator, Team Leader and/or Director.
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Pre-authorization services are understood and integrated in an applicable database. Sound judgment is consistently demonstrated as to when to involve physician or other health care professions in the pre-authorization or denial process.
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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.
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Working closely with and reporting to the Director, Revenue Cycle the Patient Access Manager is responsible for the day-to-day supervision and management of the Hospital's Patient Registration areas which may include Admitting, Pre-Authorization, Outpatient Registration, the Emergency Department and the Call Center.
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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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Verify all insurance and obtain pre-certification/authorization. Enter all information and authorization/referral numbers into the registration system. HCA Healthcare Co-Founder. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Referral services for child, elder and pet care, home and auto repair, event planning and more.
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Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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Provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Family support through fertility and family building benefits with Progyny and adoption assistance.
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Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. As a Registrar, you will be responsible for timely and accurate patient registration.
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In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses." We have an exciting opportunity for you to join Overland Park Regional Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare.
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pre authorization jobs Title: clinician Company: Tenet Call Center Ops in Forest-lake, Minnesota
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