Pre-certification Specialist

2 weeks ago


Annapolis, United States Solaris Health Holdings LLC Full time

Description:
** This is an in-office position**

Our Billing Department is seeking an experienced Prior Authorization Specialist to perform in depth insurance and benefit investigations for complicated surgical cases. This position requires strong organizational skills, great attention to detail and the ability to multi-task. The ideal applicant must have prior experience in obtaining surgical authorizations, insurance verification, benefit investigation and charge posting. Must be able to work in a fast paced environment.

**The duties include, but are not limited to**:

- Insurance verification (Medicare, Medicaid, commercial, Worker’s Comp)
- Insurance benefit investigation
- Prior Authorizations for 15+ physicians for multiple hospitals and Ambulatory surgery centers
- Communication with patients regarding their financial responsibility
- Collection of all patient financial obligations prior to surgery
- Charge Posting for hospital and/or Ambulatory Surgery Center cases

**Requirements**:
**Education/Experience**:
High school diploma or general education degree (GED) and 1 year related work experience

**Requirements**:

- Positive attitude
- Keen attention to detail
- Previous similar experience
- Excellent communication skills



  • Annapolis, United States Anne Arundel Urology Full time

    Job Description Job Description Description: * This is an in-office position*Our Billing Department is seeking an experienced Prior Authorization Specialist to perform in depth insurance and benefit investigations for complicated surgical cases. This position requires strong organizational skills, great attention to detail and the ability to multi-task. The...


  • Annapolis, United States Anne Arundel Urology Full time

    Job Description Job Description Job Type: Full-Time, in-office position located in Annapolis, MD. Description Our Billing Department is seeking an experienced Prior Authorization Specialist to perform in depth insurance and benefit investigations for complicated surgical cases. This position requires strong organizational skills, great attention to detail...


  • Annapolis, United States Anne Arundel Urology Full time

    Job DescriptionJob DescriptionJob Type: Full-Time, in-office position located in Annapolis, MD.DescriptionOur Billing Department is seeking an experienced Prior Authorization Specialist to perform in depth insurance and benefit investigations for complicated surgical cases. This position requires strong organizational skills, great attention to detail and...


  • Annapolis, United States Anne Arundel Urology PA Full time

    Job DescriptionJob DescriptionDescription:* This is an in-office position*Our Billing Department is seeking an experienced Prior Authorization Specialist to perform in depth insurance and benefit investigations for complicated surgical cases. This position requires strong organizational skills, great attention to detail and the ability to multi-task. The...


  • Annapolis, United States Luminis Health Full time

    Quality Assurance and Training Specialist - Patient Access & Support Services | Luminis Health Care EnterpriseJoin our team as a Quality Assurance & Training Specialist and gain the opportunity to make a meaningful impact on patient access and support services!You'll be part of a dynamic environment that values continuous improvement and offers opportunities...


  • Annapolis, United States Military Talent Partners Full time

    Job Description Valor Home is a Veteran Owned and Operated, Roofing Installation and Repair, and Bathroom Remodeling Company in Maryland and Virginia. We are looking for an Customer Relations Specialist to support customer service in our call center for our Valor Home services. Valor Home is a second generation, family-owned, high-end remodeling firm....


  • Annapolis, United States Military Talent Partners Full time

    Job Description Valor Home is a Veteran Owned and Operated, Roofing Installation and Repair, and Bathroom Remodeling Company in Maryland and Virginia. We are looking for an Customer Relations Specialist to support customer service in our call center for our Valor Home services. Valor Home is a second generation, family-owned, high-end remodeling firm....


  • Annapolis, United States Secure Innovations LLC Full time

    Why Work at SI? Secure Innovations (SI) successfully and continuously strives to become experts in the Cybersecurity field by only focusing on Cyber! Because of this, we proudly stand behind our motto, "We're Not Standard Cyber. We're the Cyber Standard." SI was built on the principle that people matter first and foremost. SI believes in providing a strong...


  • Annapolis, United States Luminis Health Full time

    Life Safety Specialist | Luminis HealthEnhance Safety and Compliance! Join our team and contribute to creating a safe environment while ensuring compliance with regulatory codes. As a Life Safety Specialist, you'll play a vital role in supporting our Environment of Care efforts and developing sustainable safety processes.Here's why you should consider...


  • Annapolis, United States Secure Innovations Full time

    Why Work at SI? Secure Innovations (SI) successfully and continuously strives to become experts in the Cybersecurity field by only focusing on Cyber! Because of this, we proudly stand behind our motto, "We're Not Standard Cyber. We're the Cyber Standard." SI was built on the principle that people matter first and foremost. SI believes in providing a...


  • Annapolis, United States State of Maryland Full time

    **Introduction**: This is a contractual, position specific recruitment for the Maryland Department of Natural Resources, Finance and Administrative Services. This recruitment will be used to fill current vacancies for the position and may be used to fill future vacancies in the same classification/function. Future vacancies may also be filled via other...

  • Contract Specialist

    6 days ago


    Annapolis, United States US Naval Facilities Engineering Systems Command Full time

    **Duties**: - You will perform the full range of pre and post award contractual actions required in the procurement of services, construction, architect/engineering services, or facility support services. - You will interpret and ensure that contract actions are in accordance with relevant laws, regulations, policies, standards or procedures. - You will...


  • Annapolis, United States Clearway Pain Solutions Full time

    The Billing Specialist supports the complete and timely collection of revenue for assigned groups by performing accurate coding and entry of patient and charge information into the billing system. The individual actively follows up on outstanding claims and/or charges. Essential Duties and Responsibilities: Reviews and resolves payer denials, including...


  • Annapolis, United States KureSmart Pain Management Full time

    The Billing Specialist supports the complete and timely collection of revenue for assigned groups by performing accurate coding and entry of patient and charge information into the billing system. The individual actively follows up on outstanding claims and/or charges. Essential Duties and Responsibilities: * Reviews and resolves payer denials, including...


  • Annapolis, United States Clearway Pain Solutions Full time

    The Billing Specialist supports the complete and timely collection of revenue for assigned groups by performing accurate coding and entry of patient and charge information into the billing system. The individual actively follows up on outstanding claims and/or charges. Essential Duties and Responsibilities: Reviews and resolves payer denials, including...


  • Annapolis, United States Clearway Pain Solutions Institute Full time

    The Billing Specialist supports the complete and timely collection of revenue for assigned groups by performing accurate coding and entry of patient and charge information into the billing system. This position will track all high dollar claims from charge entry to payment and will resolve complex carrier issues. The individual actively follows up on...


  • Annapolis, Maryland, United States State of Maryland - Governor's Ofc of Crime Prev, Youth & Victim Serv Full time

    IntroductionThe Governor's Office\rof Crime Prevention and Policy (GOCPP) provides access to federal and state\rgrant funds in an effort to support the Governor's initiatives to fund the\rpolice and reduce crime, provide for victims' services and for children &\ryouth to mitigate adverse childhood experiences.\r GRADE14 \r LOCATION OF POSITION\rGovernor's...


  • Annapolis, United States Luminis Health Full time

    Luminis HealthTitle: Clinical Nurse Specialist Position Objective: To promote the delivery of high quality, cost-effective health care through the provision of expert clinical staff education and professional development. Collaborates with the leadership team, clinical education team, and clinical staff in the planning and implementation of organizational...


  • Annapolis, Maryland, United States State of Maryland - Governor's Ofc of Crime Prev, Youth & Victim Serv Full time

    IntroductionThe Governor's Office of Crime Prevention and Policy (GOCPP)\rprovides access to federal and state grant funds in an effort to support the\rGovernor's initiatives to fund the police and reduce crime, provide for victims\rservices and for children & youth to mitigate adverse childhood\rexperiences.\r GRADE13 \r LOCATION OF...


  • Annapolis Junction, United States Orbis Operations Full time

    Job DescriptionJob DescriptionDescriptionORBIS Operations is seeking a Storage Solutions Specialist In Annapolis Junction, MD.The Storage Solutions Specialist is responsible for the effective operation, maintenance, and management of our client's storage environments, encompassing a broad range of DellEMC products. This role demands a highly skilled...