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Pre-Certification Specialist
2 weeks 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 ...
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Pre-Certification Specialist
2 weeks 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 ...
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pre-certification specialist
1 week ago
Phoebe Health Albany, GA , USA, 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 timel ...
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pre-certification specialist
1 week 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 ...
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LPN - Pre-certification Nurse
6 days ago
Phoebe Putney Health System Albany, GA, 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 ...
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LPN - Pre-certification Nurse
1 week 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 ...
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LPN - Pre-certification Nurse
6 days ago
Phoebe Physicians Albany, GA, 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 ...
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LPN - Pre-certification Nurse
1 week 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 ...
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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 ...
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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 people · reengagement in services. Monitors servic ...
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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 ...
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Director, Contract Administration
5 days ago
Selective Insurance Company of America Branchville, United StatesAt Selective, we don't just insure uniquely, we employ uniqueness._ · **Our Business** · Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as b ...
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EMT or Paramedic
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Amerimed Emergency Medical Services Albany, GA, United States Full time· Join 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 ...
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Certified Inpatient Coder
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Phoebe Putney Health System Albany, United StatesJob Description · Description · JOB SUMMARY · Reviews medical record documentation and diagnostic results to assign appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, ...
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Court Security Officer, Albany, GA
1 day ago
Walden Security Albany, United StatesWalden Security is currently recruiting experienced Court Security Officers. CSOs will provide armed security to courthouses under the USMS contract. · Essential Duties and Responsibilities: Includes the following and other duties may be assigned: · Perform entrance control: Enfo ...
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Cardiovascular Tech
1 week 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 ...
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Cardiovascular Tech
1 day ago
Phoebe Health Albany, United States· 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 and acquisition. The cardiovascular t ...
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Accountability Court Coordinator
1 day 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 ...
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Cardiovascular Tech
1 week 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 ...
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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 ...
Pre-Certification Specialist - Albany, United States - Phoebe Putney Health System
Description
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 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.GENERAL REQUIREMENTS
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.
WORKING CONDITIONS
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
Qualifications
EDUCATION REQUIREMENTS
High School Diploma or GED (Required)
EXPERIENCE REQUIREMENTS
2 years experience in a health-related environment (hospital or Physician's office) (Required)
CERTIFICATIONS AND LICENSURES
Required Certifications/Licensures:
Certified Healthcare Access Associate (CHAA) within 15 months of hire; previous Certified Patient Account Representative (CPAR) certification acceptable
GENERAL SKILLS
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
PHYSICAL REQUIREMENTS
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
PHYSICAL DEMANDS
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%)
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