- Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
- Performs compliance requirements as outlined in the Employee Handbook
- Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
- Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
- Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
- Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
- Requires use of electronic mail, time and attendance software, learning management software and intranet.
- Must adhere to all DCH Health System policies and procedures.
- Must be able to perform the duties with or without reasonable accommodation.
- Hearing and vision must be normal or corrected to within normal range.
- Physical presence onsite is essential.
-
Program Manager
1 week ago
Monte Nido & Affiliates, LLC Northport, United StatesWe save lives while providing the opportunity for people to realize their healthy selves.: · **Program Manager** · **Clementine Northshore** · **Northport, NY** · **Clementine Northshore, **located in** Northport, NY **is a residential treatment program exclusively for adolescent ...
-
Clinical Manager
5 days ago
ProHealth Home Health and Hospice Tuscaloosa, United StatesJOB SUMMARY: · The Director of Clinical Services/Clinical Manager is a Registered Nurse (RN) who has graduated from an accredited school of nursing and is currently licensed to practice in the state(s) where currently practicing. The Director of Clinical Services/Clinical Manager ...
-
Specialist for Occupational Safety
3 weeks ago
Crimson Solutions Northport, United StatesOccupational Safety Specialist (m/f/d) Making a difference at Lafim-Diakonie For Lafim-Diakonie, we are looking for you as an Occupational Safety Specialist (m/f/d) starting on [date], full-time or part-time based on 40 hours/week. Your tasks and areas of responsibility are diver ...
-
A Customer Experience Specialist
4 days ago
Terra Cottondale, AL, United States FreelanceApplication of the omnichannel approach by interacting with assigned customers through various channels, both in person and virtually, and utilizing different tools · - Coordination of appropriate interfaces with the customer assigned as the main contact, including agile marketin ...
-
Summer Learning secretary
2 weeks ago
Alabama Department of Education Tuscaloosa, United StatesClassified - Position - School Positions - Office Coordinator / Secretary · Job Number · Start Date · Open Date 02/13/2024 · Closing Date 05/31/2024 · Start Date · Salary Range: From/To See website for Salary Schedule · Additional Job Information · Secretary/Receptionist · Hig ...
-
Secretary
1 week ago
Alabama Department of Education Tuscaloosa, United StatesClassified - Position - School Positions - Office Coordinator / Secretary · Job Number · Start Date · Open Date 05/09/2024 · Closing Date 05/15/2024 · Start Date July 18,2024 · Salary Range: From/To $17.62-$20.17 (maximum salary range) · Additional Job Information · High School ...
-
Secretary
1 week ago
Alabama Department of Education Tuscaloosa, United StatesClassified - Position - School Positions - Office Coordinator / Secretary · Job Number · Start Date · Open Date 05/09/2024 · Closing Date · Start Date July 18,2024 · Salary Range: From/To $17.62-$20.17 (maximum salary range) · Additional Job Information · High School diploma or ...
-
Human Resources Specialist
6 days ago
Diversified Recruitment Services, LLC Tuscaloosa, United StatesAs a member of the Human Resources team, the HR Specialist I will be responsible for recruiting and retaining production team members, driving employee engagement, participating in employment investigations, handling sensitive documentation related to personnel activities, and su ...
-
Echo Ultrasonographer
3 weeks ago
DCH Tuscaloosa, United StatesOverview · To perform echocardiographic procedures as requested by the physician, accurately keep charges and to supply to the appropriate physician for reading. To maintain accurate and appropriate files and assist with GXT's as needed. To coordinate the activities and functions ...
-
Chief Electrical Inspector
1 week ago
City of Tuscaloosa, AL Tuscaloosa, United StatesSummary · The purpose of this classification is to perform administrative and supervisory/specialized work functions associated with the inspections of electrical work conducted within city jurisdictions to ensure compliance with all applicable codes and regulations that apply to ...
-
Denials Manager
1 week ago
DCH Tuscaloosa, United StatesOverview · The Denials Manager will support the mission of the DCH Health System by managing the denials of the DCH Health System looking for opportunities to improve denials through billing, coding and clinical documentation opportunities. The Denials Manager will be required to ...
-
Director Pastoral Care Services
1 week ago
DCH Tuscaloosa, United StatesOverview · Responsible for managing Pastoral Care Services and advising the CEO/President and Administrator of the DCH Health System on ethics, moral, emotional, religious, and spiritual matters that affect the Health System. · Responsibilities · Manages departmental budget. Inte ...
-
Electrical Service Technician
1 week ago
Premier Service Co. Tuscaloosa, United StatesJob Description · Job DescriptionSalary: · Summary of Duties · The Electrical Service Technician oversees jobs and coordinates daily tasks that need to be completed. This position is responsible for supervising electrical service work on job sites and in the warehouses. The Elec ...
-
Internal Temporary Contract LPN
3 weeks ago
DCH Tuscaloosa, United StatesOverview · Under the supervision of a Registered Nurse (RN), the LPN administers compassionate care by maintaining standards of nursing practice and creating positive therapeutic relationships with patients/families. Encourages team members and supports their contribution. Superv ...
-
Safety & Security Coordinator
3 weeks ago
DocGo Inc. Tuscaloosa, United StatesDETAILS · Tuscaloosa, AL · Posted 12 days ago · Category · Operations & Administration · Employment Type · Full time · Type · Regular · Job Title: Coordinator, Safety & Security · Location: Tuscaloosa, Alabama · Pay Rate: $16.00-$17.00/hour · Employment Type: Full-Time · Schedule ...
-
Human Resources Specialist
5 days ago
Diversified Recruitment Services, LLC Tuscaloosa, United StatesAs a member of the Human Resources team, the HR Specialist I will be responsible for recruiting and retaining production team members, driving employee engagement, participating in employment investigations, handling sensitive documentation related to personnel activities, and su ...
-
Human Resources Specialist
5 days ago
Diversified Recruitment Services Llc Tuscaloosa, United StatesAs a member of the Human Resources team, the HR Specialist I will be responsible for recruiting and retaining production team members, driving employee engagement, participating in employment investigations, handling sensitive documentation related to personnel activities, and su ...
-
Psychiatrist Physician
1 week ago
Department of Veterans Affairs Tuscaloosa, United States Full timeSummary · This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appoi ...
-
specialty quality coordinator
3 weeks ago
DCH Tuscaloosa, AL , USA, United StatesOverview · Under the guidance of the Assistant Director of Pharmacy Outpatient Services, the Specialty Accreditation & Patient Advocate Technician is responsible to ensure the Pharmacy is complying with URAC and ACHC Accreditation standards. This position will assist the Assistan ...
-
LPN - Pulmonary (6SE)
2 weeks ago
DCH Tuscaloosa, AL, United StatesOverview · Under the supervision of a Registered Nurse (RN), the LPN administers compassionate care by maintaining standards of nursing practice and creating positive therapeutic relationships with patients/families. Encourages team members and supports their contribution. Superv ...
authorization coordinator - Tuscaloosa, AL , USA, United States - DCH
Description
OverviewCoordinates the clinical review and obtaining authorizations for the procedures performed in the SpineCare Center.
Requires attention to detail and the ability to work in multiple computer systems to verify insurance eligibility and determine requirements for precertification of insurance.
Responsibilities
Reviews order report to initiate and obtain for pre-authorization and pre-certification Utilizes insurance website and electronic fax to upload info needed for pre-authorization and pre-certification Reviews Electronic Fax for all incoming pre-authorization and pre-certification to create the case for approvals in Expanse Make appropriate changes to patient's demographic and insurance information when needed Verify that we have the correct contract and group number in system in order to obtain pre-authorization or pre- certification Enters pre-authorization or pre-certification numbers into Expanse by creating the case along with documentation Reviews clinical and non-clinical data which includes medical terms and diagnosis or procedure codes in order to obtain pre-authorization or pre-certification.
DCH Standards:
Qualifications
Can write legibly, speak and read English. Experience with obtaining pre-authorizations and working with insurance companies preferred. Medical Terminology preferred. High school graduate, good clerical abilities, Demonstrated proficiency in keyboarding/computer use. Self-motivated and the ability to work effectively in an independent environment.
Ability to work well with the public, physicians, insurance companies and other hospital staff in a courteous and professional manner.
Healthcare experience required. Must be able to read, write, and speak English.WORKING CONDITIONS:
Communication through talking, expressing and exchanging ideas by means of the spoken word.
Working in a small area where conditions require sitting 80% of the time and standing, kneeling, squatting, walking, and stooping 20% of the time.
Is able to lift 35 pounds' maximum. Good manual and finger dexterity. Hearing and vision must be corrected to within normal range. Mental capability to always maintain patient confidentiality 100% of the time.PHYSICAL FACTORS
OTHER JOB FACTORS
Job requires orientation to detail, accountability and ability to interact with customers when the communication may be discourteous or unpleasant.