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The Pre-Certification Specialist ensures that authorization is obtained when needed for the length of the hospital stay and/or outpatient services. 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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Advanced Hospice Volunteer Certification is a free service-learning program which provides an introduction to hospice care through education, training and hands-on experience provided by the Volunteer Coordinator through Elara Caring Hospice in our Newburyport, MA office.
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Y-USA Leader Certification (within 90 days of hire)At least 18 years of age for (lifeguard instructor and ASHI CPR instructor) and 21 years of age (swim instructor trainer)At least 1 year job related experience.
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Position Summary / Career Interest:Pre-Certification & Billing Specialist confirms applicable insurance eligibility, communicates with insurance carrier or designee regarding pre-certification or pre-authorization and communicates this information and financial responsibility to all appropriate parties including the intake office, resource assignments, and patients when applicable.
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Attempts to mediate daily scheduling, pre-registration, pre-certification or registration issues and elevates any issues that cannot be resolved independently. 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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Some departments such as OR, Ambulatory Surgery, Pediatrics/PICU, PACU, and GI Lab will require advanced life support certification (ACLS and PALS). Our nurses are unique in that they are trained to be the pre-op nurse, intraoperative nurse (circulator), and PACU nurse for all OR cases, along with the nurse for the newborn after delivery.
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Reports denials and/or delays inthe pre-certification process to physicians/other health care providers and thepatient. Coordinates pre-certification process with provider officesto ensure target goal of 98% of pre-scheduled elective inpatient and outpatientprocedures are pre-authorized.
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The Medical Case Manager (LVN) (Pre-Authorization Nurse Reviewer) will be responsible for reviewing and processing requests for authorization and notification of medical services from health professionals, clinical facilities and ancillary providers.
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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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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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Job Title: Pre-School Coordinator. + Child Development Associate Certification (Preferred) Ability to obtain CPR and First Aid Certification within 90 days of hire. + CPR Certification (Required.
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Certification to teach early childhood in California and strong understanding of California's pre-kindergarten state guidelines. Stevenson School is seeking a Pre-Kindergarten Teacher, with immediate start.
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NICET certification in Water-Based System Layout, Fire Alarm Systems, or Special Hazards Systems (National Institute for Certification in Engineering Technologies) is preferred. Lead the design, specification, and multi-discipline coordination of the following fire protection systems: Wet-pipe, dry-pipe, pre-action, deluge, and foam/water fire suppression systems.
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Completes all pre-certification requirements by obtaining authorization from insurer and/or healthcare facility. Upon occasion, the PSC REP II may be only assigned to complex pre-registration.
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Registered Nurse RN PRE-OP/PACU. The Pre-Op /PACU RN may assist the anesthesia physicians with regional nerve blocks as needed. Job DescriptionRegistered Nurse PRE-OP/PACU Full Time Days - CALL REQUIREDWhat We Are Looking ForLake Granbury Medical Center's PACU Department is now hiring a full-time Registered Nurse PRE-OP/PACU to work in our thriving 73 bed acute care hospital.
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pre certification jobs Title: ambulatory representative in Bothell, Washington
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