- Initiates eligibility verification process for correct plan code on patient hospital record. Ensures pre-authorizations or other reimbursement requirements for treatment are obtained and documented in hospital record prior to date of service. Communicates timely requests for supporting clinical documentation to prevent payment denials. Has a working knowledge of state and federal reimbursement and regulatory requirements. May perform other related duties as assigned.
- Adheres to the hospital and departmental attendance and punctuality guidelines
- Performs all job responsibilities in alignment with the core values, mission and vision of the organization
- Performs other duties as required and completes all job functions as per departmental policies and procedures
- Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs)
- Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
- Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs. For non-clinical areas, has attended training and demonstrates usage of age- specific customer service skills.
- General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
- May be exposed to high noise levels and bright lights.
- May be exposed to limited hazardous substances or body fluids, or infectious organisms.
- May be required to change from one task to another of different nature without loss of efficiency or composure.
- Periods of high stress and fluctuating workloads may occur.
- May be scheduled as needed including overtime
- High School Diploma or GED (Required)
- 2 years experience in a health-related environment (hospital or Physician's office) (Required)
- Required Certifications/Licensures: Certified Healthcare Access Associate (CHAA) within 15 months of hire; previous Certified Patient Account Representative (CPAR) certification acceptable
- Organizational Skills
- Communication Skills
- Interpersonal Skills
- Customer Relations
- Mathematical
- Analytical
- Grammar / Spelling
- Read / Comprehend Written Instructions
- Follow Verbal Instructions
- Basic Computer Skills
- Microsoft Office Suite
- General Clerical Skills
- Spanish or 2nd Language Preferred
- Have near normal vision - Clarity of vision (both near and far), ability to distinguish colors
- Have good - manual dexterity
- Have good eye-hand-foot coordination
- Ability to perform - repetitive tasks/motion
- Standing - Occasionally within shift (1-33%)
- Walking - Occasionally within shift (1-33%)
- Sitting - Continuously within shift %)
- Bending/Stooping - Occasionally within shift (1-33%)
- Pushing/Pulling - Occasionally within shift (1-33%)
- Reaching above shoulder - Occasionally within shift (1-33%)
-
Pre-Certification Specialist
1 week ago
Phoebe Putney Health System Albany, United StatesInitiates eligibility verification process for correct plan code on patient hospital record. Ensures pre-authorizations or other reimbursement requirements for treatment are obtained and documented in hospital record prior to date of service. Communi Certification, Patient, Speci ...
-
Pre-Certification Specialist
1 day ago
Phoebe Putney Health System Albany, United States· JOB SUMMARY · Initiates eligibility verification process for correct plan code on patient hospital record. Ensures pre-authorizations or other reimbursement requirements for treatment are obtained and documented in hospital record prior to date of service. Communicates timely ...
-
Pre-Certification Specialist
5 days ago
Phoebe Putney Memorial Hospital Albany, United StatesJob Description - Pre-Certification Specialist - Patient Contact Center · - · Full-time · | · - · Day Shift · JOB SUMMARY · Initiates eligibility verification process for correct plan code on patient hospital record. Ensures pre-authorizations or other reimbursement require ...
-
pre-certification specialist
6 days ago
Phoebe Putney Health System Albany, GA , USA, United StatesJOB SUMMARY · * Initiates eligibility verification process for correct plan code on patient hospital record. Ensures pre-authorizations or other reimbursement requirements for treatment are obtained and documented in hospital record prior to date of service. Communicates timely r ...
-
LPN - Pre-certification Nurse
2 days ago
Phoebe Putney Health System Albany, United StatesJOB SUMMARY · * Processes requests for patient appointments and routes to appropriate departments. Initiates the verification process and ensures pre-authorizations are obtained for treatment and all other reimbursement requirements are met. Has a working knowledge of state and f ...
-
LPN - Pre-certification Nurse
13 hours ago
Phoebe Putney Health System Albany, United States· JOB SUMMARY · Processes requests for patient appointments and routes to appropriate departments. Initiates the verification process and ensures pre-authorizations are obtained for treatment and all other reimbursement requirements are met. Has a working knowledge of state and ...
-
LPN - Pre-certification Nurse
1 day ago
Phoebe Health Albany, United StatesJOB SUMMARY · Processes requests for patient appointments and routes to appropriate departments. Initiates the verification process and ensures pre-authorizations are obtained for treatment and all other reimbursement requirements are met. Has a working knowledge of state and fed ...
-
LPN - Pre-certification Nurse
2 days ago
Phoebe Physicians Albany, United States· JOB SUMMARYProcesses requests for patient appointments and routes to appropriatedepartments. Initiates the verification process and ensures pre-authorizationsare obtained for treatment and all other reimbursement requirements are met.Has a working knowledge of state and federa ...
-
Velocity Solutions Radium, United StatesBecome a Radium IT specialist in 3 years and gain comprehensive training in all technical areas of the profession by qualified employees. You will work in an agile team of developers and system technicians for all employees of the PVS group. As part of this training, you will be ...
-
Certified Peer Specialist
1 day ago
Aspire Behavioral Health Albany, United StatesGENERAL NATURE OF WORK: Under the direct supervision of Licensed staff provide · 70% billable services to individuals on assigned case load. Be in compliance · with service guidelines. Complete documentation within 24 hours. Help assist · with housing application, referrals for h ...
-
EMT or Paramedic
2 hours ago
Amerimed Emergency Medical Services Albany, United StatesJoin our growing team at Amerimed EMS – where your PASSION meets your PURPOSE to serve others during their time of need · Competitive pay plus benefits · Currently hiring Certified EMT, Advanced EMT or Paramedic - must be certified or already in certification process to apply · ...
-
Cardiovascular Tech
1 day ago
Phoebe Putney Health System Albany, United StatesJOB SUMMARY · * The cardiovascular technologist acts as a clinical / technical support team member. They are competent in cardiac invasive procedural skill sets such as , surgical scrub, hemodynamic monitoring and clinical data computation and acquisition. The cardiovascular tech ...
-
Accountability Court Coordinator
2 days ago
Aspire Behavioral Health Albany, United StatesGENERAL NATURE OF WORK: · Duties Include: · Coordinator is required to supervise clincial and non clinical staff, Provide · Outpatient services, including assessments, individual, family and group therapy · and skills training, provide quality collaborative documentation, maintai ...
-
Cardiovascular Tech
1 day ago
Phoebe Physicians Albany, United States· JOB SUMMARYThe cardiovascular technologist acts as a clinical / technical supportteam member. They are competent in cardiac invasive procedural skill sets suchas , surgical scrub, hemodynamic monitoring and clinical data computation andacquisition. The cardiovascular technolog ...
-
Anesthesia Assistant
1 day ago
Phoebe Physicians Albany, United States· We are looking for new CAA's to join our Anesthesia team. Excellent case mix including General, Urology, Ortho, GYN, OB, Vascular, Thoracic, Neuro, Plastics, ENT, and Endo. Phoebe is headquartered in Albany, Georgia halfway between Atlanta and Florida's Gulf Coast beaches.Phoe ...
-
Anesthesia Assistant
1 day ago
Phoebe Putney Health System Albany, United StatesWe are looking for new CAA's to join our Anesthesia team. Excellent case mix including General, Urology, Ortho, GYN, OB, Vascular, Thoracic, Neuro, Plastics, ENT, and Endo. Phoebe is headquartered in Albany, Georgia halfway between Atlanta and Florida's Gulf Coast beaches. · Phoe ...
-
Board Certified Behavior Analyst
2 days ago
Benchmark Human Services Albany, United StatesSign-On Bonus: · n/a · Description: · If you're looking for something outside of a typical clinic setting where you can help people with disabilities become more independent and involved in their community, then Benchmark is the place for you Work with 1 – 4 adults with severe im ...
-
Cardiovascular Technologist
2 days ago
Phoebe Putney Health System Albany, United StatesSign on Bonus and relocation available · JOB SUMMARY · * The cardiovascular technologist acts as a clinical / technical support team member. They are competent in cardiac invasive procedural skill sets such as , surgical scrub, hemodynamic monitoring and clinical data computation ...
-
Cardiovascular Technologist
1 day ago
Phoebe Health Albany, United States· Sign on Bonus and relocation availableJOB SUMMARY · * The cardiovascular technologist acts as a clinical / technical support team member. They are competent in cardiac invasive procedural skill sets such as , surgical scrub, hemodynamic monitoring and clinical data computation ...
-
School Psychologist
1 day ago
Dougherty County School System Albany, United StatesPosition Type: · Student Support Services · Date Posted: · 7/11/2023 · Location: · Exceptional Students ProgramPOSITION ANNOUNCEMENT · July 11, 2023 · POSITION: School Psychologist · LOCATION: Exceptional Students Program · JOB SUMMARY: · The School Psychologist is directly respo ...
pre-certification specialist - Albany, GA , USA, United States - Phoebe Health
Description
JOB SUMMARY
GENERAL REQUIREMENTS
WORKING CONDITIONS
EDUCATION REQUIREMENTS
EXPERIENCE REQUIREMENTS
CERTIFICATIONS AND LICENSURES
GENERAL SKILLS
PHYSICAL REQUIREMENTS
PHYSICAL DEMANDS
