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· Scroll down the page to see all associated job requirements, and any responsibilities successful candidates can expect. · :A Registration Review Specialist works in a high volume, fast paced environment. They receive incoming and make outgoing phone calls while serving as a li ...
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+Job summary · Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partner ...
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The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification and applying criteria to determine medical necessity for health care services requiring authorization prior to rendering services to members. · ...
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- Work in company Remote job
LVN Utilization Review Specialist – Kelsey Seybold Clinic: Remote
Only for registered members
The Utilization Review Specialist is responsible for conducting medical reviews and applying criteria to determine medical necessity for health care services requiring authorization prior to rendering services to members. · Work remotely as you take on some tough challenges. · ...
Pearland, TX2 months ago
Registration Review Specialist - Houston - CoxHealth
Description
:A Registration Review Specialist works in a high volume, fast paced environment.
Do you have the right skills and experience for this role Read on to find out, and make your application.
They receive incoming and make outgoing phone calls while serving as a liaison between patients, payers, and other health care team members.
They are responsible for order management as well as verifying patient demographics, insurance information, medical necessity, and pre-authorization requirements.
Calculates patient estimates based on the service scheduled, the contracted plan and reimbursement allowances, benefits, and out of pocket thresholds.
May perform a preliminary Financial Assistance screening to determine eligibility for assistance programs, facilitate applications, and schedule appointments with the Financial Navigation Team
Education:
Required:
High School Diploma or Equivalent Experience:
Preferred: 1 year pre-registration, scheduling, financial counseling or equivalent education/experience Skills:
Excellent customer service and interpersonal skills Knowledge of medical terminology or CPT or procedure codes xhuatnn Strong computer and relevant application use skills Ability to multi-task in a fast paced environment Ability to effectively adapt and respond to urgent needs and requests Demonstrates initiative and self-motivation Working knowledge of health insurance plan benefits Demonstrates understanding and consistent practice of need for privacy and confidentiality Licensure/Certification/Registration:
Preferred:
CHAA or CRCR
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