Jobs
>
Lenexa

    Pre-Reg Pre-Cert Specialist - Lenexa, United States - Istituto Marangoni

    Default job background
    Description
    Position Title Pre-Reg Pre-Cert Specialist Southlake Campus Position Summary /

    Career Interest:

    The Pre-Reg/Pre-Cert Specialist is responsible for identifying patients who qualify for pre-registration to include all new patients and all return patients.

    This position obtains identification to assure accuracy of demographic and insurance information and enters all information into the registration system.

    The Pre-Reg/Pre-Cert Specialist is responsible for pre-service collections and documentation when applicable. This role is responsible for verification and pre-certification, notification and authorization of all admissions and / or outpatient visits.

    For all sponsored admissions, will contact patients employer and/or insurance company to verify coverage and benefits, obtain benefit level, patient liability, billing address.


    Responsibilities:
    Works reports daily according to duty specifications to retrieve all un-contacted patients prior to service. Utilizes worklists to pre-register / pre-certify hospital services.

    Conducts telephone interviews as needed with patients to elicit demographic information and third-party payer data that will be needed for billing purposes.

    Enters patient data directly into registration systems. Ensures that MSPQ is completed when appropriate.
    Verifies with third party payor dependent eligibility, certificate and group numbers, co-payment and deductible amounts, statement mailing address, etc. Complies with Medicare / Medicaid and other insurance rules and regulations.
    Works closely with the clinics, hospital ancillary departments, and patient financial advisors regarding potential complications regarding insurance coverage.
    Secures accounts per established departmental policy.

    This includes but is not limited to, contacting the patient, contacting responsible payers including government and non-government payers, contacting the patients employer, referring uninsured and underinsured accounts to the Financial Advisors, and taking any other necessary actions.

    Contact provider office immediately of any restrictions denying services, such as inability to obtain pre-certification or any lock-in program by any agency.*Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.*Note: These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities.

    Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.


    JOB REQUIREMENTSRequired:

    High School Diploma or GEDPreferred:
    Epic experiencePrior experience in pre-registration or prior authorization

    Time Type:

    Full time Job Requisition ID:R-34963 We are an equal employment opportunity employer without regard to a persons race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.

    Need help finding the right job? We can recommend jobs specifically for you Create a custom Job Alert by selecting criteria that suit your career interests.

    #J-18808-Ljbffr


  • Istituto Marangoni Lenexa, United States

    Position Title · Pre-Reg Pre-Cert Specialist · Southlake Campus · Position Summary / Career Interest:The Pre-Reg/Pre-Cert Specialist is responsible for identifying patients who qualify for pre-registration to include all new patients and all return patients. This position obta ...


  • The University of Kansas Hospital Lenexa, United States

    Job ID: R-34963 Job Type: Full time Location: Lenexa, KansasPosition Summary / Career Interest:The Pre-Reg/Pre-Cert Specialist is responsible for identifying patients who qualify for pre-registration to include all new patients and all return patients. This position obtains ident ...


  • Siemens Energy, Inc. Lenexa, United States Full time temporary

    · DoDSkillBridge Internship – Field Technician/Specialist · Here at Siemens, we take pride in enabling sustainable progress throughtechnology. We do this through empowering customers by combining the real anddigital worlds. Improving how we live, work, and move today and for the ...


  • AdventHealth Lenexa, United States

    Consumer Access Specialist -AdventHealth Shawnee Mission · All the benefits and perks you need for you and your family: · Vision, Medical & Dental Benefits from Day One · Student Loan Repayment Program · Received Magnet recognition from the American Nurses Credentialing Center ...


  • AdventHealth Lenexa, United States

    **Consumer Access Specialist -** **AdventHealth Shawnee Mission** · **All the benefits and perks you need for you and your family:** · + Vision, Medical & Dental Benefits from Day One · + Student Loan Repayment Program · + Received Magnet recognition from the American Nurses Cred ...


  • Siemens Corporation Lenexa, United States

    Here at Siemens, we take pride in enabling sustainable progress through technology. We do this through empowering customers by combining the real and digital worlds. Improving how we live, work, and move today and for the next generation We know that the only way a business thriv ...


  • Republic Finance Philadelphia, United States

    **Consumer Loan Specialist - Sales Customer Service** · CAROUSEL_PARAGRAPH · Philadelphia, Mississippi · Branch Operations · 5284 · ** Share Job** · ** Job Description** · **Overview & Responsibilities** · As a Consumer Loan Specialist, you will go through an on-the-job t ...

  • Living Spaces

    Café Attendant

    1 week ago


    Living Spaces Lenexa, United States Part time

    Position Summary · The Café Specialist will be responsible for preparing and serving food and beverages, while maintaining a clean and safe environment for our Guest and Team Members. · Position Description · Essential Duties and Responsibilities include the following. Other dut ...


  • Quest Diagnostics Lenexa, Kansas, United States Permanent

    Overview: · We Provide Solutions. Patients and Physicians rely on our diagnostic testing, information and services to help them make better healthcare decisions. These are often serious decisions with far reaching consequences, and require sensitivity, tact and a clear dedication ...


  • All Copy Products Lenexa, United States

    EOE Statement · We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by ...


  • Siemens Lenexa, United States

    Here at Siemens, we take pride in enabling sustainable progress through technology. We do this through empowering customers by combining the real and digital worlds. Improving how we live, work, and move today and for the next generation We know that the only way a business thriv ...


  • Motion Recruitment Overland Park, United States

    Our client, a large, global financial exchange, is seeking a Product Support Specialist to join their team onsite out of Overland Park, Kansas · ** 4-month contract-to-hire opportunity, working on W2, with benefits*** · Responsibilities · Maintains and fosters the relationship be ...


  • Powered By MRP Park City, United States

    About Powered by MRP · Powered by a trusted technology-driven side-by-side managed marketplace, Powered by MRP provides the world's largest selection of new and pre-owned medical equipment, pharma, supplies, and managed services from the MedTech industry's top companies. We help ...


  • Black & Veatch Overland Park, United States Full time

    Together, we own our company, our future, and our shared success. · As an employee-owned company, our people are Black & Veatch. We put them at the center of everything we do and empower them to grow, explore new possibilities and use their diverse talents and perspectives to s ...


  • Black & Veatch Overland Park, United States Full time

    Together, we own our company, our future, and our shared success. · As an employee-owned company, our people are Black & Veatch. We put them at the center of everything we do and empower them to grow, explore new possibilities and use their diverse talents and perspectives to s ...


  • Black & Veatch Overland Park, United States Full time

    Together, we own our company, our future, and our shared success. · As an employee-owned company, our people are Black & Veatch. We put them at the center of everything we do and empower them to grow, explore new possibilities and use their diverse talents and perspectives to s ...


  • Black & Veatch Overland Park, United States Full time

    Together, we own our company, our future, and our shared success. · As an employee-owned company, our people are Black & Veatch. We put them at the center of everything we do and empower them to grow, explore new possibilities and use their diverse talents and perspectives to s ...

  • Shorr Packaging Corp.

    Product Manager

    1 week ago


    Shorr Packaging Corp. Overland Park, United States

    Description · Together, We Own it Start your employee owner journey with Shorr Packaging. · The Food Packaging Product Manager combines technical knowledge with sales skills. The emphasis is geared to selling primary packaging materials for both flexible and rigid products. Hav ...


  • Black & Veatch Overland Park, United States Full time

    Job Summary · Black & Veatch Global Advisory is seeking a manager-level professional to join more than 200 consultants, regulatory policy advisors, technology specialists, and energy industry respected subject matter experts to deliver to our clients. This individual will have th ...

  • SCA Health

    RN-Medical Care

    2 weeks ago


    SCA Health Overland Park, KS, United States Full time

    Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems ...