ENT Precertification Specialist
2 weeks ago
We are seeking a highly skilled and detail-oriented ENT Precertification Specialist to join our team at UofL Health. As a key member of our clinical operations team, you will play a critical role in ensuring a positive patient experience by accurately and efficiently completing all necessary steps related to prior authorization, medical necessity determination, and financial clearance for our hospital system and physician services.
Responsibilities- Accurately and efficiently identify all necessary clinical documentation to support medical necessity for scheduled procedures and medication orders.
- Submit authorizations and clinical information to payers in a timely fashion, ensuring compliance with plan rules and regulations.
- Assess orders to determine patient class and work with physicians to clarify as needed.
- Coordinate patient encounters using multiple systems applications, registration applications, clinical operating systems, eligibility verification systems, and medical necessity applications.
- Document all findings and communications thoroughly and accurately in the patient record.
- Meet or exceed productivity standards in the completion of daily assignments and accurate production.
- Comply with all departmental and organizational policies and procedures, as well as local, state, and federal rules and regulations.
- High School Diploma or equivalent required.
- At least one year of patient access, insurance verification, prior authorization, or related experience required.
- 3 years of prior authorization or related experience preferred.
UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute, and Brown Cancer Center. We are committed to delivering patient-centered care to each and every patient, every day.
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Precertification Specialist- ENT
2 weeks ago
Louisville, Kentucky, United States UofL Health Full timeAbout UofL HealthUofL Health is a fully integrated regional academic health system with a mission to deliver patient-centered care to each and every patient. Our team of highly skilled healthcare professionals is dedicated to providing compassionate and expert care to patients of all ages and stages of life.Precertification Specialist RoleWe are seeking a...
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Precertification Specialist
4 weeks ago
Louisville, Kentucky, United States UofL Health Full timeAbout the RoleWe are seeking a highly skilled Precertification Specialist to join our team at UofL Health. As a key member of our organization, you will play a critical role in ensuring a positive patient experience by accurately and efficiently completing all necessary steps related to prior authorization, medical necessity determination, and financial...
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ENT Precertification Specialist
4 weeks ago
Louisville, Kentucky, United States UofL Health Full timeAbout the RoleWe are seeking a highly skilled Precertification Specialist to join our team at UofL Health. As a key member of our healthcare team, you will play a critical role in ensuring a positive patient experience by accurately and efficiently completing all necessary steps related to prior authorization, medical necessity determination, and financial...
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ENT Precertification Specialist
1 week ago
Louisville, Kentucky, United States UofL Health Full timeAbout the RoleWe are seeking a highly skilled Precertification Specialist to join our team at UofL Health. As a key member of our clinical operations team, you will play a critical role in ensuring a positive patient experience by accurately and efficiently completing all necessary steps related to prior authorization, medical necessity determination, and...
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ENT Precertification Specialist
2 weeks ago
Louisville, Kentucky, United States UofL Health Full timeAbout the RoleWe are seeking a highly skilled Precertification Specialist to join our team at UofL Health. As a key member of our clinical operations team, you will play a critical role in ensuring a positive patient experience by accurately and efficiently completing all necessary steps related to prior authorization, medical necessity determination, and...
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Pre-Access Specialist
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Otolaryngology Specialist
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Louisville, Kentucky, United States Sterling Physician Recruiters, LLC Full timeENT Physician Opportunity in KentuckyWe are seeking an experienced Otolaryngology specialist to join our team at a not-for-profit health system in Kentucky. This is a hospital-employed opportunity with a strong referral base from primary and pediatric providers.Key Highlights:General ENT practice with the ability to subspecializeAdvanced state-of-the-art...
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Louisville, Kentucky, United States Sterling Physician Recruiters Llc Full timeOtolaryngology Specialist Opportunity with Growth Potential **About the Opportunity** We are seeking an Otolaryngology specialist to join our team at a new ENT service line in Kentucky. This is a hospital-employed opportunity with a strong referral base from primary and pediatric providers. Our clinic features advanced state-of-the-art technology and a...
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Louisville, Kentucky, United States Sterling Physician Recruiters, LLC Full timeENT Physician Opportunity in KentuckyWe are seeking an experienced Otolaryngology specialist to join our team at a not-for-profit health system in Kentucky. This is a hospital-employed opportunity with a strong referral base from primary and pediatric providers.Key Highlights:General ENT practice with the ability to subspecializeAdvanced state-of-the-art...
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Louisville, Kentucky, United States Sterling Physician Recruiters, LLC Full timeENT Physician Opportunity in KentuckyWe are seeking an experienced Otolaryngology Specialist to join our team in Kentucky. This is a hospital-employed opportunity with a strong referral base from primary and pediatric providers.Practice DetailsGeneral ENT practice with the ability to subspecializeAdvanced state-of-the-art technology clinicNot-for-profit...
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ENT Specialist
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Louisville, Kentucky, United States SENTA Partners Full timeOpportunity Highlights An established group with a high earning potential Our physicians enjoy a healthy work-life balance, with the offices closed on weekends and hours between 8 and 5 Sign-on bonus and relocation assistance are available Responsibilities Clinical Expertise Provide exceptional diagnostic and treatment services in the field of...
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Medical Authorization Specialist
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