with other departments to bring about conflict resolution to pre-authorization problems. 14. Demonstrates the ability to be cross-trained...
with other departments to bring about conflict resolution to pre-authorization problems. 14. Demonstrates the ability to be cross-trained...
and covers the patient's medication Review and analyze patient visit information to determine whether authorization... is needed and understands payor specific criteria to appropriately secure authorization and clear the account prior to service...
pre-certifications, referrals, RQI numbers or any kind of authorization from an insurance company. Primary... office experience dealing with scheduling, telephone calls, prior pre-certification/ pre-authorization, as well as using...
and covers the patient's medication Review and analyze patient visit information to determine whether authorization... is needed and understands payor specific criteria to appropriately secure authorization and clear the account prior to service...
.com. What We Do Primarily dealing with third party contractors, Authorization Representatives determine coverage and make repair/replacement...
Job Category: Revenue_Cycle Job Description: The Authorization Rep ensures patients have been cleared for Hospital... personnel regarding insurance coverage and reason for the procedure. Relays authorization approval, peer to peer request...
and authorization status of all Inpatient, Observation and Surgical Day Care accounts. Responsible for tracking and arranging copayment... Job Functions: Run payer eligibility Call payers and/or electronically obtain prior authorization for departments within the...
Position Summary: We have an exciting opportunity to join our team as a Billing Representative III. Under general... direction the Billing Representative III performs advanced billing and financial clearance functions including claims management...
Position Summary: We have an exciting opportunity to join our team as a Billing Representative III. Under general... direction the Billing Representative III performs advanced billing and financial clearance functions, including claims...
Job Category: Patient Access Job Description: The Referral Coordinator is responsible for assuring a comprehensive process, updated data base and the integrity of the referral process for patients to assigned physicians and specific ser...
Job Category: Patient Access Job Description: Capture defined referral information from Swedish Physician Division providers to specialists and facilities. Verify eligibility and benefits for risk patients. Providence caregivers are n...
Duration: 3+ Months contract Job Description: Shift: Day 5x8-Hour (08:00 - 16:30) Must have 2 years of experience with authorizations on resume This position will primarily handle submitting authorizations for Orthopedic procedures/surge...
Job Category: Patient Access Job Description: The Referral Coordinator prepares clinical data for physician/IPP/CBO approval and obtains authorizations; acts as liaison between patient, medical assistant, physician, IPP, CMS Department ...
between $16.25 - $21.40/hr based on experience The Insurance Authorization Specialist is responsible for performing insurance authorization... for all patients scheduled for services. Insurance Authorization Specialist I will work within the policies and processes...
of transportation on a global scale. The Role As Product Manager for In-Vehicle Authentication and Authorization, you will lead the... navigate across mobile, web and in-vehicle platforms. You will consider existing and future authentication and authorization...
Overview: Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization...-authorization prior to the scheduled service being performed. Liaisons with physicians and physician office staff when...
-certification, pre-authorization and/or medical necessity requirements for complex outpatient hospital services, and specialized... procedures (i.e. Recurring Visits, Surgeries, IR). Obtains pre-certification or pre-authorization prior to the scheduled complex...
education/counseling, insurance verification, provision of clinical information for pre-certification, authorization and third... to clinician when appropriate or requested. 5. Identifies all patients requiring pre-certification or pre-authorization at the...