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Insurance Verification Specialist
2 days ago
CHNK Behavioral Health Covington, United StatesJob Description · Job DescriptionSalary: $17 -$22 · Insurance Verification Specialist · Location: Devou Park · Department: Billing Services · Position Reports to: Director of Billing Services · Position Supervises: n/a · Profile Last Updated: April 24, 2024 · QUALIFICATIONS · ...
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ORTHOCINCY Cincinnati, United StatesJob Type · Full-time · Description · General Job Summary: Responsible for performing a variety of clerical duties and responsible for insurance verification for patients with medical or auto insurance as well as authorizations. · Essential Job Functions:Greets, screens, schedules ...
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Data Verification Specialist
1 week ago
Cherokee Nation Business dba Cherokee Federal Florence, United StatesData Verification Specialist. · ***This position requires an active Public Trust clearance or the ability to obtain a Public Trust clearance to be considered. *** · The Data Verification Specialist will ensure the accuracy and reliability of data within a company's databases or s ...
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The Christ Hospital Cincinnati, United States Full timeJob Description · The Insurance Authorization & Cost Estimate Specialist is responsible for collecting necessary insurance benefit and clinical information to properly authorization the ordered service with the patient's insurance company. This includes steps to support insuranc ...
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Feldkamp Cincinnati
1 week ago
Palen Kimball Cincinnati, United States Full timeCompany Overview · Feldkamp Enterprises, a Marsden Services Mechanical Company, is currently looking to hire a full-time payroll specialist Come join a company whose hiring philosophy is rooted in the idea that we want our employees to grow and be successful within our organizati ...
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Global Payments Specialist II
1 week ago
Fifth Third Bank Cincinnati, United States Full timeMake banking a Fifth Third better · We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. · GENERAL FUNCTION: Under general supervision, performs critical monitoring, processing and support function ...
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Staffing Coordinator, Nursing Ops, Nights
2 weeks ago
UC Health Cincinnati, United States Full time, 36 hours/weekJob Description · UC Health is hiring a Full-Time Staffing Coordinator for the Nursing Operations for the Night Shift at UC Medical Center. · The Nursing Operations department will support the Medical Centers and deliver high-quality care to patients based on assessed needs, es ...
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Patient Access Specialist-Part Time
3 weeks ago
Ensemble Health Partners Cincinnati, United States Part timeThank you for considering a career at Ensemble Health Partners · Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle s ...
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Agricultural Regulatory Specialist I
1 week ago
Kentucky Personnel Cabinet Kentucky, United StatesAdvertisement Closes 6/17/2024 (8:00 PM EDT Agricultural Regulatory Specialist I Pay Grade12 Salary $33, - $50, Annually Employment Type EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | HR/WK Hiring Agency General Government Cabinet | Department of Agriculture Loc ...
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PT/OT Registration Representative
1 day ago
Christ Hospital Cincinnati, United States Full timeThe Registration Specialist is responsible for collection of accurate demographic and insurance information from patients to facilitate a successful patient revenue cycle. Based on the operations of the practice, this position may be responsible for a variety of duties, including ...
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Lead, Electrical Engineering
3 weeks ago
L3Harris Technologies Cincinnati Airport, United StatesJob Title: Lead Specialist, Electrical Engineering - Analog & Digital Design · Job Code: 8504 · Job Location: Batavia/Cincinnati, OH. · Schedule: 4/10 Schedule · Lead Specialist, Electrical Engineering · (Analog & Digital Design) · 4/10 Schedule: · Monday through Thursday, 10 h ...
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Benefits Specialist
21 hours ago
Greater Cincinnati Behavior Cincinnati, United StatesJoin our mission to help individuals with mental illness and addictions to lead healthy and productive lives. GCBHS has immediate opening for Benefit Specialist to serve adults who are experiencing mental health and substance use disorder. This individual will be responsible for ...
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Revenue Cycle Specialist
2 weeks ago
DeCoach Recovery Centre Cincinnati, United StatesJob Description · Job DescriptionJob Title: Revenue Cycle Specialist · Company: DeCoach Recovery · Location: Sharonville, OH · DeCoach Recovery is a leading addiction treatment center located in Sharonville, OH, dedicated to providing compassionate care and effective solutions fo ...
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HR Pre-boarding Specialist, PRN
2 weeks ago
UC Health Cincinnati, United StatesUC Health is hiring a PRN HR Preboarding Specialist The HR Pre-boarding Specialist is responsible for pre-boarding and workforce development efforts focused on assisting candidates through the pre-boarding and credentialing process for all disciplines who will embrace UC Health's ...
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Patient Access Specialist I
6 days ago
Hueman PE Talent Solutions Cincinnati, United States· BrightView Health is hiring a Patient Access Specialist I as a Full-Time job in Cincinnati, OH. · As a Patient Access Specialist I, you will complete the day-to-day duties surrounding new patient intake, insurance verification and initial appointment scheduling. You will be ...
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Loan Origination Specialist, Customer Service
3 weeks ago
LendKey Cincinnati, United StatesLendKey, a financial technology firm and a leader in "lending-as-a-service" solutions, improves lives by making lending simple for credit unions, community banks, and their customers. LendKey partners with community-based financial institutions helping them to digitally originate ...
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Payroll Specialist
5 days ago
Marsden Cincinnati, United StatesJob Description · Job Description · Company Overview · Feldkamp Enterprises · , a Marsden Services Mechanical Company, is currently looking to hire a full-time payroll specialist Come join a company whose hiring philosophy is rooted in the idea that we want our employees to gr ...
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Patient Access Specialist I
2 days ago
Hueman PE Talent Solutions Cincinnati, United StatesJob Description · Job DescriptionBrightView Health is hiring a Patient Access Specialist I as a Full-Time job in Cincinnati, OH. · As a Patient Access Specialist I, you will complete the day-to-day duties surrounding new patient intake, insurance verification and initial appoint ...
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LendKey Cincinnati, United StatesJob Description · Job DescriptionDescription:LendKey, a financial technology firm and a leader in "lending-as-a-service" solutions, improves lives by making lending simple for credit unions, community banks, and their customers. LendKey partners with community-based financial ins ...
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Credentialing Specialist
3 weeks ago
UC Health Cincinnati, United StatesAt UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our com ...
Surgery Verification Specialist - Cincinnati, United States - UC Health
Description
This position will ensure surgery pre-certification/ prior authorizations are in place prior to the procedure.High School Diploma or GED - Minimum Required ? Associates Degree - Preferred Degree | None | - 2 Years equivalent experience - Minimum Required ? - 5 Years equivalent experience - Preferred
Job Function:
Surgical/procedure Verification - 70% Reviews accounts for missing authorizations with the use of designated work queue.
Work accounts for financial security based on priorities of filters for days out, admit status, case specialty, procedure, or surgeon.
Contact appropriate precertification department or physician office if authorization or CPT codes are missing. Review for financial clearance (FAA, self-pay estimates or cosmetic payments) for cases without insurance coverage.Escalating to manager of registration, utilization review manager, and director of finance when financial clearance has not been obtained timely.
Confirm insurance has been e-verified/edibility. Notify AU/IV if verification is not present. WCH campus responsibility includes endo, MIS, hospital surgical unit and surgery center. Start Medical Mutual of Ohio inpatient authorizations in review link for hospital authorization. Verify Workers comp C-9 online or call to confirm. Screen for OON plans. Assure that office has been notified, preservice collections has calculated financial responsibility and patient was notified.Job Function:
Status Confirmation - 15% Verify admission status is correct based on inpatient only codes from CMS.
Check to make sure case request status in Epic match authorization status (inpatient vs outpatient) and that status request is appropriate.
Work closely with the utilization review nurse to assure status/authorization understanding. Work closely with admitting so clarify that authorization has been obtained for procedures in question.Job Function:
Add-Ons Cases - 10% Assure that cases have been routed to the appropriate team responsible for precertification and insurance verification for eligibility.
For physicians with no Epic access, assure that media scan includes prior authorization status and CPT code. Contact physician office if no documentation is present.Job Function:
Quality/Performance Improvement - 5% Maintain up to date knowledge of Medicare compliance and insurance requirements. Analyze denials from weekly report for process improvement and education to appropriate department. Assure all departments responsible for precertification have access to inpatient only procedure code list. Assist with Advance Beneficiary Notice (ABN) notice of non-coverage when necessary. Assure documentation is accurate, reflecting who was responsible for precertification and accuracy of information. | Review the physical demands and assign an overall average percentage of time this position performs these activities. These physical demands will not be listed or rated on the annual performance appraisal.
Climbing:
Ascending or descending stairs, ladders, ramps, etc, using feet and legs and /or hands and arms - 5% Stooping:Bending body downward and forward by bending spine at the waist - 5% Kneeling:Bending legs at knees to come to a rest on knee or knees - 5% Reaching:Extending hand(s) and arm(s) in any direction - 10% Standing: Remaining upright on the feet, particularly for sustained periods of time - 15% Walking:Moving about on foot to accomplish tasks - 15% Pushing 0-10 lbs:Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 10% Pushing 11-20 lbs: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 10% Pushing 21-50 lbs: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 10% Pushing 51 lbs or more: Use of upper extremities to press against something with steady force in order to move something f
