- Develop and maintain effective relationships with insurance companies, physicians and medical office staff
- Daily review of appointments scheduled by block schedulers to update the Electronic Medical Records (EMR) Precertification Tracker with Date of service/CPT codes/rendering MD/Place of service
- Review EMR Precertification Tracker and submit clinicals as needed for precertification as well as check previous EMR system for any clinicals that may need to be uploaded into new EMR system
- Update the Ambulatory Surgery Center calendar with the status of schedule blocks
- Review EMR assigned work buckets for denial letters and send patient cases to ordering Nurse of the denied precertification requests and the reason for the denial
- Communicate with block scheduling staff to be sure that all blocks are approved for the following day
- Complete reconsiderations/appeals on denials received on block requests and coordinating peer to peer needs with the ordering Nurse.
- High school diploma or equivalent
- Two (2) years' relevant experience in medical registration/admissions, precertification and/or medical insurance
-
Authorization Nurse Specialist
1 week ago
Urology America, MSO Germantown, United StatesGENERAL DESCRIPTION · Under the direct supervision of the Director of Clinical Operations, the Authorization Specialist is responsible for calling insurance companies to obtain prior authorization and precertification for services, procedures and medications. In addition, the Au ...
-
patient access rep ed prn
3 weeks ago
LifePoint Health , TN, United StatesPerforms receptionist, registration, and clerical duties associated with direct and scheduled patient admissions. · Reports to: Patient Access Supervisor · Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system ...
-
Specialist-Patient Placement
2 weeks ago
Baptist Memorial Collierville, United StatesSummary · Recommends the most efficient, cost effective utilization of resources within the continuum of care, prior to the delivery of services. Evaluates, assesses, plans, and facilitates a plan of care. Obtains/Validates insurance prior authorizations and pre-certification for ...
-
authorization nurse specialist
3 weeks ago
Urology America, MSO , TN, United StatesGENERAL DESCRIPTION · Under the direct supervision of the Director of Clinical Operations, the Authorization Specialist is responsible for calling insurance companies to obtain prior authorization and precertification for services, procedures and medications. In addition, the Aut ...
-
Authorization Nurse Specialist
1 week ago
Urology America, MSO Germantown, United StatesGENERAL DESCRIPTIONUnder the direct supervision of the Director of Clinical Operations, the Authorization Specialist is responsible for calling insurance companies to obtain prior authorization and precertification for services, procedures and medications. In addition, the Author ...
-
Authorization Nurse Specialist
3 weeks ago
Urology Austin Germantown, TN, United StatesGeneral Description · Under the direct supervision of the Director of Clinical Operations, the Authorization Specialist is responsible for calling insurance companies to obtain prior authorization and precertification for services, procedures and medications. In addition, the Aut ...
-
Authorization Nurse Specialist
3 weeks ago
Urology Austin Germantown, United StatesGeneral Description · Under the direct supervision of the Director of Clinical Operations, the Authorization Specialist is responsible for calling insurance companies to obtain prior authorization and precertification for services, procedures and medications. In addition, the Au ...
-
patient access rep ed prn
3 weeks ago
LifePoint Hospitals , TN, United StatesPerforms receptionist, registration, and clerical duties associated with direct and scheduled patient admissions. · Reports to: Patient Access Supervisor · Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system ...
-
patient access rep i
3 weeks ago
LifePoint Hospitals , TN, United StatesPerforms receptionist, registration, and clerical duties associated with direct and scheduled patient admissions. · Reports to: Patient A · Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness ...
-
Authorization Nurse Specialist
2 weeks ago
Urology America, MSO Germantown, United StatesJob Description · Job DescriptionGENERAL DESCRIPTION · Under the direct supervision of the Director of Clinical Operations, the Authorization Specialist is responsible for calling insurance companies to obtain prior authorization and precertification for services, procedures and ...
-
Specialist-Patient Placement
2 weeks ago
Baptist Memorial Healthcare Corporation Collierville, United StatesSummary · Recommends the most efficient, cost effective utilization of resources within the continuum of care, prior to the delivery of services. Evaluates, assesses, plans, and facilitates a plan of care. Obtains/Validates insurance prior authorizations and pre-certification f ...
Precertification Specialist - Memphis, United States - Semmes Murphey Clinic
Description
Job TypeTemporary
Description
Semmes Murphey Clinic is committed to implementing a team-based approach to provide excellence in patient care. The Precertification Specialist will ensure the timely and efficient pre-cert of SMC procedures and assist in providing continuity of quality patient care.
This will be a temporary assignment that will last from approximately 06/01/2024 to 08/01/2024.
We are looking for someone who can:
Minimum Requirements:
#SMC