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Training and/or familiarity with Dialectical Behavioral Therapy (DBT), familiarity with abuse and neglect reporting and duty-to-warn mandates, knowledge of community-based resources and experience with pre-authorization and billing processes is preferred.
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Under the management of the Manager, Patient Access, the Pre-Certification Representative I is responsible to determine insurance eligibility and, as appropriate benefits, pre-authorization / pre-certification and medical necessity requirements based on patient specific insurance.
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The ACL also provides afterhours pre-authorization for behavioral health inpatient, crisis residential and residential substance use disorder treatment. Utilization Management Afterhours: Review behavioral health pre-authorization documentation for inpatient, crisis residential and residential substance use disorder treatment requests for Medi-Cal beneficiaries.
$114,300 a yearFull-timeRemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Notify patient-clients about the status of their pre-authorization and referral requests, providing them with relevant information and instructions regarding their upcoming treatments or specialist visits.
$55,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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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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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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To ensure procurement of accurate pre-certification authorization/referral for applicable returning and new patients as well as review and completion of accurate, complete patient charts.
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Riverfront Medical Center is comprised of Family Medicine, Pediatrics, Activity, Sports, & Exercise Medicine, Anticoagulation Management Services, Behavioral Health, Endocrinology, Eye Care, Health Education, Neurology, Occupational Medicine, Occupational Therapy, Physical Therapy, Podiatry, Rheumatology and Social Work Services.
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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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Facilitates patient access to Cedars Sinai Medical Center and secures all demographic and financial patient registration information, including the following: Registration, Pre Registration, insurance verification, Third Party Liability (TPL) screening, Medi-Cal / Medicare eligibility verification, Workers Compensation eligibility, and securing cash deposits (co-pays, deductibles, cash packages.
$37.59 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Follow procedures to minimize insurance denials and maximize revenues (pre-authorization for designated items and all Work Comp, PRP for patient’s responsibility). Position may assist in obtaining pre-certification and authorization of products.
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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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Makes outgoing calls to insurance companies for pre-certification or any authorization. 1-2 years previous health care experience working with a variety of health insurance plans for pre-certification and authorization of benefit coverage.
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The individual is responsible for coordinating all the functions and activities related to patient pre-certification/authorization including, but not limited to accurate and complete patient registration, on-site insurance verification, pre-service testing coordination and assisting in billing denial resolution.
Full-timeExpandApply NowActive JobUpdated 23 days ago - UpvoteDownvoteShare Job
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The Pre-Authorization Specialist is responsible for identifying prior auth requirements by insurance/payer and processes and completes prior authorizations for scheduled and add on services.
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behavioral patient safety pre authorization signing bonus jobs Company: Echn in WA, Ohio
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