![Virginia Heart](https://media.trabajo.org/img/noimg.jpg)
Pre-Authorization Specialist
3 weeks ago
At Virginia Heart, we are looking for
a Pre-Authorization Specialist to obtain Pre-Authorizations for patient procedures and provides support to the office manager, physicians, billing, clinical staff, referring physicians and most importantly, the patient.
The Pre-Authorization Specialist must exude an attitude of teamwork and provides superior customer service to meet co-worker and patient needs.
When you work with Virginia Heart, you will enjoy a dedicated and experienced staff, competitive wages, excellent benefitsand
the following rewards and incentives:
Affordable Medical, Dental and Vision plans
401(k) Retirement Plan
Paid Short-Term Disability
Employee Assistance Program for Mental and Physical well-being
Three Weeks of Paid Vacation upon eligibility
One week of Paid Sick Leave
Annual Merit-Based increases
Annual Merit-Based increases
Employee Discount Programsts
Quarterly Employee Appreciation; Events to include therapy dogs, raffles, and other fun events
Virginia Heart is Northern Virginia's premier cardiovascular practice, bringing an unparalleled standard of excellence to our patients. We are seeking experienced professionals to join our team in our outpatient cardiology setting.
Every employee, at every level, begins their journey at Virginia Heart learning about the history of the organization and its established culture built on trust and integrity.
Our employees drive this culture, and we want you to be a part of it.RESPONSIBILITIES:
Manages all aspects of obtaining Pre-Authorization prior to patient procedures (in office, hospital procedures, external imaging).
Works as a team within the department, with other Virginia Heart epartments (Patient Services, Billing, Hospital Scheduling, Office Managers, and physicians), and referring offices.
Requests medical records within Virginia Heart, from referring offices, and surrounding hospitalsContacts insurance companies via phone and insurance web based systems.
Verifies patients insurance and relay proper CPT codes/Diagnosis codes to insurance companies for Pre-Authorization approval and/or referrals.
Identifies all accepted insurance plans and cards.
Checks insurance eligibility; obtains patient insurance referrals as needed. Is able to interpret and use Virginia Heart's demographic charts.
Acts as a liaison between insurance companies, Virginia Heart physicians, and patients (peer-to-peer process).
Responsible for answering phones in a courteous, professional, and timely manner.
Provides friendly and efficient telephone services to patients and Virginia Heart staff and transfers calls as appropriate.
Demonstrates professionalism in all interactions with patients, vendors and fellow employees to create a positive experience.
Exudes confidence on the telephone fostering reassurance for our patients.
Resolves issues appropriate to position.
REQUIREMENTS:
HS Diploma or equivalent required
CPT and ICD-10 CM coding criteria and guidelines preferred (preferably in cardiology)
Proficient in Microsoft Excel and Word required
EPIC experience preferred
Minimum of 1 year experince in customer service related field, preferably a fast paced environment
Knowledge of insurance carriers, carrier websites, coverage policies and benefits
Ability to read EOB and explain definition of out of pocket, deductible, and co-insurance
#J-18808-Ljbffr
-
Application Support Specialist
3 weeks ago
Saint-Brieuc, Bretagne, United States ASCENDING LLC Full timeFully Remote Available for W2 or Fully Remote Available for W2 or 1099Our Client is seeking an application support specialist, to help them support a lending systems applicationWhat you will be doing: Acts as Liaison between the lending area and their technology vendorsPrepare, in consultation with the Lending area, detailed requirements specifications...
-
Case Management Specialist
3 weeks ago
Saint-Brieuc, Bretagne, United States Inova Health System Full timeInova Fairfax The Case Management Specialist coordinates and performs administrative activities to support the Case Management department. Participates in the annual and ongoing budget processes, arranges services for assigned patient populations including Home Health, Durable Medical Equipment, Ambulance, Housing, Skilled Nursing Facility and others in...
-
Stock Clerk/Inventory Specialist DARCARS Honda
3 weeks ago
Saint-Brieuc, Bretagne, United States DARCARS Automotive Group Full timeDARCARS Automotive Group is now hiring for an Stock Clerk/ Inventory Specialist As the Stock Clerk/ Inventory specialist you are responsible to act as the principle person in charge of the receipt of the inventory as it is received. In this role, you'll: Check in and stock all orders upon receipt Notify the parts manager of any parts that are received...
-
supervisory operations specialist
3 weeks ago
Saint-Brieuc, Bretagne, United States Defense Health Agency Full timeSummaryAbout the Position: This position supports the mission of the Defense Health Agency (DHA), J3 Director of Operations and the Deputy Assistant Director for Healthcare Operations and is in Falls Church, VirginiaNote:Salary negotiation may be available for those candidates who are new to Federal service.This job is open toCareer transition (CTAP, ICTAP,...
-
Talent Acquisition Specialist
3 weeks ago
Saint-Brieuc, Bretagne, United States Penn Foster Inc Full timeAt Crescent Hotels & Resorts, we are a team of hospitality professionals that are deeply connected to & proud of the exceptional experiences we provide for our guests. More than that, we know our Associates are the shining stars of what we doWe understand what it takes to be a part of something great. We will encourage you to bring your true self to work...
-
IT Engineer
3 weeks ago
Saint-Brieuc, Bretagne, United States INSPYR Solutions Full timeTitle:IT Engineer (ISP Network Engineer)Location:Merrifield, VA Hybrid 2x a WeekDuration: 6 Month Contract W ExtensionsCompensation: $47-65/HR based on candidate experienceWork Requirements:US Citizen, GC Holders or Authorized to Work in the U.S. The successful candidate will be working with IT, industrial internet of things (IoT) and operational technology...
-
IT Engineer
3 weeks ago
Saint-Brieuc, Bretagne, United States INSPYR Solutions Full timeTitle: IT Engineer (ISP Network Engineer) Location: Merrifield, VA Hybrid 2x a Week Duration: 6 Month Contract W Extensions Compensation: $47-65/HR based on candidate experience. Work Requirements: US Citizen, GC Holders or Authorized to Work in the U.S. The successful candidate will be working with IT, industrial internet of things (IoT) and...
-
Supervisory Security Specialist
3 weeks ago
Saint-Brieuc, Bretagne, United States Pentagon Force Protection Agency Full timeSummary The mission of the Pentagon Force Protection Agency (PFPA) is to provide force protection, security, and law enforcement to safeguard personnel, facilities, infrastructure, and other resources for the Pentagon Reservation and designated DoD facilities (hereinafter referred to as "the Pentagon Facilities") within the National Capital Region (NCR)....
-
Saint-Brieuc, Bretagne, United States Inova Health System Full timeJob DescriptionInova Health System is seeking a Registered Nurse (RN) Clinic Oncology for a nursing job in Falls Church, Virginia.Job Description & RequirementsSpecialty: OncologyDiscipline: RNStart Date: ASAPDuration: OngoingShift: daysEmployment Type: StaffThe Inova Schar Cancer Institute is a state-of-the-art cancer center in the Washington, DC metro area...
-
Civil Building Science Engineer
3 weeks ago
Saint-Brieuc, Bretagne, United States Dewberry Full timeJob Description: Dewberry is currently seeking a Civil Building Science Engineer for our Resilience Solutions team in our Fairfax, VA office. The successful candidate will work with nationally known hazard mitigation specialists and building science experts to compile data on buildings codes, standards, and best practices to mitigate the impact of floods,...
-
Director, Business Technology Solutions
3 weeks ago
Saint-Brieuc, Bretagne, United States Dewberry Full timeJob Description: Dewberry is seeking an experienced professional to lead ITs Business Technology Solutions group, which consists of managers, data professionals, developers, analysts, specialist, etc. This individual will be involved in driving strategy, collaboration, and innovation to help shape the technology landscape for a dynamic enterprise. This...
-
Sr Project Manager
3 weeks ago
Saint-Brieuc, Bretagne, United States Dewberry Full timeDewberry is seeking a Senior Project Manager to lead MEPS Infrastructure teams designing electrical, mechanical, and structural systems on Water/Wastewater projects. Role includes interfacing both with internally led engineering teams and marketing directly to external clients/owners. The successful candidate should have experience specifying, designing, and...
-
Licensing Inspector, Fairfax,
3 weeks ago
Saint-Brieuc, Bretagne, United States State of Virginia Full timeTitle: Licensing Inspector, Fairfax, (W0940) State Role Title:Program Admin. Specialist II Hiring Range: $63, ,500, (salary commensurate with experience) Pay Band: 5 Agency: Department of Social Services Location:FAIRFAX LICENSING OFFICEAgency Website: Recruitment Type: General Public - G Job Duties At the Virginia Department of Social Services, we put...
-
Medical Authorizations Specialist
1 month ago
Saint Petersburg, United States NA Full timeJob Description SNI Companies is currently hiring for Medical Authorization Specialists: Responsibilities: - Process medical authorizations for procedures and services. - Utilize medical terminology and coding knowledge to accurately review and verify medical records. - Verify insurance coverage and handle insurance authorization processes. - Maintain...
-
Medical Authorization Specialist
3 weeks ago
Saint Petersburg, United States Pinellas Medical Associates Full time**Responsibilities**: - Process medical authorizations for procedures and services. - Utilize medical terminology and coding knowledge to accurately review and verify medical records. - Verify insurance coverage and handle insurance authorization processes. - Maintain compliance with HIPAA regulations while handling sensitive patient information. - Utilize...
-
Referral Specialist
1 month ago
Port Saint Lucie, Florida, United States Hollister Incorporated Full timeABC Home Medical Supply, Inc is one of the nation's leading urological supply providers and serves as a one-stop shop with a comprehensive line of medical supplies and service that includes: Urological, Incontinence, Wound Care, and Ostomy. ABC Medical is part of the JDS, Inc family of businesses. Our service companies possess the knowledge and expertise to...
-
Administrative Specialist
3 weeks ago
Saint-Aubin-sur-Gaillon, Normandie, United States UNC Medical Center Full timePerforms duties of an Administrative Associate but with some authority to step outside confines of established procedures. They are also considered the subject matter authority in the administrative area for the department/clinic.Responsibilities:1. Administrative Specialist, Administrative, Specialist, Healthcare, Customer
-
Realty Specialist
1 week ago
Saint Louis, United States U.S. Army Corps Of Engineers Full timeManages land to insure highest and best possible utilization and development to improve the economy in areas affected by projects and to assure compliance with the terms and conditions of out-grants that authorize use of Government land. Through negotiation by formal advertising, out-grants Government-owned...
-
GEOINT Conveyance Specialists
2 weeks ago
Saint Louis, United States Castalia Systems Full timeJob DescriptionJob DescriptionJob Type: Full-TimeClearance: TS/SCI with the ability to obtain a CI PolyMust be a U.S. CitizenBenefits: Medical, dental, and vision coverage, 401k matching, generous PTO, paid holidays, professional training opportunities, and even pet insurance to ensure your furry friends are cared for too.Job Summary The GEOINT Conveyance...
-
GEOINT Conveyance Specialists
2 weeks ago
Saint Louis, United States Castalia Systems Full timeJob DescriptionJob DescriptionJob Type: Full-Time, Part-Time Clearance: TS/SCI with the ability to obtain a CI PolyMust be a U.S. CitizenBenefits: Medical, dental, and vision coverage, 401k matching, generous PTO, paid holidays, professional training opportunities, and even pet insurance to ensure your furry friends are cared for too.Job Summary The GEOINT...
-
Clinical Solution Specialist- CV Ultrasound
1 month ago
Saint Louis, United States Philips Full timeJob Title Clinical Solution Specialist- CV Ultrasound (Saint Louis, Missouri) Job Description As a Clinical Solution Consultant (CSC), for Cardiovascular Ultrasound, (CV), you are the clinical expert and liaison to our CV Ultrasound Business with a focus on your assigned territory. Working closely with a strong team of CV Account Managers, you will be...
-
Supervisory IT Specialist
2 months ago
Saint Petersburg, United States National Oceanic And Atmospheric Administration Full timeAs a Supervisory Information Technology (IT) Specialist, you will perform the following duties:Provide leadership, expert technical advice, guidance, and recommendations on all regional IT activities. Collaborates and coordinates with agency peers as well as headquarters Office of Chief Information Officer to provide technology mission support. Has full...
-
Employment Specialist
1 week ago
Saint Paul, United States Oak Tree Support Services Full timeJob DescriptionJob DescriptionDescription:Job Summary:An Employment Specialist performs a variety of responsibilities that support individuals exploring occupation opportunities, development of skills and tools needed to obtain employment, and support once employment has been obtained to create sustained success. This is accomplished through various...
-
Employment Specialist
2 days ago
Saint Paul, United States Oak Tree Support Services Full timeJob DescriptionJob DescriptionDescription:Job Summary:An Employment Specialist performs a variety of responsibilities that support individuals exploring occupation opportunities, development of skills and tools needed to obtain employment, and support once employment has been obtained to create sustained success. This is accomplished through various...
-
Employment Specialist
1 month ago
Saint Paul, United States Oak Tree Support Services Full timeJob DescriptionJob DescriptionDescription:Job Summary:An Employment Specialist performs a variety of responsibilities that support individuals exploring occupation opportunities, development of skills and tools needed to obtain employment, and support once employment has been obtained to create sustained success. This is accomplished through various...
-
Economic Support Specialist 1
3 weeks ago
Saint Albans, Vermont, United States Georgia Department of Human Services Full timeStronger Families for a Stronger Georgia. The Georgia Department of Human Services (DHS) is a dynamic state agency responsible for delivering a wide range of services to Georgia's most vulnerable populations. Our mission is to strengthen Georgia by providing individuals and families access to services that promote self-sufficiency, independence, and protect...
-
Contracts Specialist
1 month ago
Saint Paul, United States TKDA Full timeOur employee-owned and integrated team of multi-disciplined professionals is seeking a contracts professional with experience administering professional services agreements and procurement systems. As a member of our team, you will work alongside the Chief Legal Officer and other experienced Contracts Specialists in a team-oriented, fast-paced environment....
-
Contracts Specialist
1 month ago
Saint Paul, Minnesota, United States TKDA Full timeOur employee-owned and integrated team of multi-disciplined professionals is seeking a contracts professional with experience administering professional services agreements and procurement systems.As a member of our team, you will work alongside the Chief Legal Officer and other experienced Contracts Specialists in a team-oriented, fast-paced environment....
-
Intake Specialist
1 week ago
Saint Louis, United States Quipt Home Medical Full timeJob DescriptionJob DescriptionDescription:Position: Intake Specialist Job Type:Full-timePosition Reports To: Branch ManagerDescriptionQuipt Home Medical is a rapidly growing leader in the provision of clinical respiratory equipment and service in the durable medical equipment industry. We are looking for driven individuals to come grow with us.Position...
-
Intake Specialist
2 days ago
Saint Louis, United States Quipt Home Medical Full timeJob DescriptionJob DescriptionDescription:Position: Intake Specialist Job Type:Full-timePosition Reports To: Branch ManagerDescriptionQuipt Home Medical is a rapidly growing leader in the provision of clinical respiratory equipment and service in the durable medical equipment industry. We are looking for driven individuals to come grow with us.Position...
-
Intake Specialist
1 month ago
Saint Louis, United States Quipt Home Medical Full timeJob DescriptionJob DescriptionDescription:Position: Intake Specialist Job Type:Full-timePosition Reports To: Branch ManagerDescriptionQuipt Home Medical is a rapidly growing leader in the provision of clinical respiratory equipment and service in the durable medical equipment industry. We are looking for driven individuals to come grow with us.Position...
-
Referral Specialist
3 weeks ago
Saint Petersburg, United States Tampa Bay Surgical Group Full timeResponsibilities: - Coordinate and process referrals for patients to specialist providers - Verify insurance coverage and obtain necessary authorizations for referrals - Communicate with patients, providers, and insurance companies regarding referral status and requirements - Maintain accurate and up-to-date records of referrals and related documentation -...
-
Procurement Specialist
1 month ago
Saint Louis, United States CK Power Full timeJob DescriptionJob Description100% onsite in St. Louis, MO. Some travel may be required. From $63,000/year.CK Power is a family-owned business that has been providing off-highway power solutions for 90 years. At CK Power, we have the well-deserved reputation for engineering and building products that simply can’t be made by the competition. We provide...