Pre-Certification Specialist

4 weeks ago


Columbus, United States St. Francis-Emory Healthcare Full time

Pre-Certification Specialist

Columbus, Georgia Facility St. Francis-Emory Healthcare
Req ID 505612 Post Date 04/15/2024 Category Administrative
Description

Responsible for collecting and entering complete and accurate demographic and insurance information prior to the patient’s arrival. Verifying that the pre-certification requirements of the insurance companies have been met. Verifying the benefits coverage and quantifying the patient liability portion. Contacting the patient the day before arrival to remind them of the appointment, set the expectation for payment, and answer any questions the patient may have.


FLSA: Non-exempt


EEO: □ 01 Officials and Managers □ 02 Professionals □ 03 Technicians □ 04 Sales Workers X 05 Administrative Support Workers □ 06 Craft Workers □ 07 Operatives □ 08 Laborers and Helpers □ 09 Service Workers


Qualifications

Minimum Education
X High school diploma or equivalent X Required


Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.


Certifications:
X HFMA’s Certified Patient Account Representative (CPAR) designation- preferred


Minimum Work Experience
Minimum one (1) year in customer service focused environment.

Computer, data entry experience.

Familiar with Third Party Payers Utilization Management Requirements for Outpatient Procedures.

Must possess an understanding of Medical Terminology and diagnostic procedures. 

Previous scheduling or medical diagnostic department experience



  • Columbus, United States Ohio Department of Education Full time

    INTERVENTION SPECIALIST PRE-K TEACHER Mild / Moderate - Elementary Woodward Elementary School 2024/2025 School Year 186 Work Day Calendar 7.75 hrs/day DCEA Bargaining Unit Full Benefits Package Offered New Staff Orientation Required if Applicable See Attached Job Description for Details and Required Skills


  • Columbus, United States C Vs Pharmacy Full time

    Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. - Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical nec Specialist, Processing, Senior, Claims, Retail, Healthcare, Medical


  • Columbus, United States Franklin County, OH Full time

    Description: Intervention Specialist Extended School Year (ESY) Summer 2024 ONLY Minimum Qualifications: * Must hold Ohio teaching license for Intervention Specialist (K-12) License, with Specific Learning Disabilities and/or Behavioral Handicapped certification preferred * Certified in Crisis Prevention Institute (CPI) * Experience...

  • Pre-School Teacher

    4 weeks ago


    Columbus, United States ST VINCENT FAMILY SERVICES Full time

    Job DescriptionJob DescriptionAt St. Vincent Family Services, it is our job to help families build bright futures.Make it your job too! We offer competitive wages, comprehensive benefits, 401K matching, a generous PTO (Paid Time Off) policy !!!PLUS We Offer Quarterly Bonuses!!!SUMMARYResponsible for providing academic instruction to children in a...


  • Columbus, United States Ohio Department of Education Full time

    Summer 2024 Intervention Specialists needed as well as a Teacher of the Visually Impaired - Extended School Year June 3-August 12 unless otherwise specified * Pre K - 12 Intervention Specialists & Teacher of the Visually Impaired for Extended School Year Special Education Instruction. Hours and days will vary and are flexible with...


  • Columbus, United States Educational Service Center of Central Ohio Full time

    Position Type: Student Support Services/Student ServicesDate Posted: 4/3/2024Location: DistrictClosing Date: Until FilledDistrict: Delaware City School District - websiteSummer 2024 Intervention Specialists needed as well as a Teacher of the Visually Impaired - Extended School Year June 3-August 12 unless otherwise specified - Pre K - 12 Intervention...


  • Columbus, United States FastSigns Full time

    Job DescriptionUnder general direction, this full-time FASTSIGNS Sign Production Specialist position is responsible for all aspects of the physical production of signs. Sign assembly includes preparing substrates and using the proper machines and techniques to construct products according to written instructions. Benefits/PerksCompetitive PayPaid Vacation...


  • Columbus, United States Ohio Department of Education Full time

    Northridge High School is seeking an Intervention Specialist for the 2024-2025 school year. Preferred certification of Intervention Specialist: moderate/intensive. Mild/moderate will be considered. Please send a resume and cover letter to Dr. Katie Karacson, kkaracson@northridgevikings.org after completing the online application.


  • Columbus, United States Ferguson Construction Company Full time

    Job DescriptionJob DescriptionCommercial Construction Safety SpecialistFerguson Construction (FC) is a regionally established General Contractor that has been in business for over 100 years. FC has vast experience in the heavy and light industrial, commercial, healthcare, and institutional markets. Along with our in-house design department, Ferguson self...

  • Specialist Marketing

    3 hours ago


    Columbus, United States Pyramid Consulting Full time

    Immediate need for a talented Specialist Marketing with experience in the Insurance Industry. This is a 18+ Months Contract opportunity with long-term potential and is located in Columbus,OH. Please review the job description below. Job ID: 22-72673Key Responsibilities: Developing marketing plans for industry conferences including maintaining booth assets,...


  • Columbus, United States Educational Service Center of Central Ohio Full time

    Position Type: High School Teaching/High SchoolDate Posted: 2/5/2024Location: Northridge High School - Licking CountyDistrict: Northridge Local Schools - websiteNorthridge High School is seeking an Intervention Specialist for the 2024-2025 school year. Preferred certification of Intervention Specialist: moderate/intensive. Mild/moderate will be considered. ...


  • Columbus, United States Hunter International, Inc Full time

    Help Desk SpecialistColumbus, OHCompetitive Pay and BenefitsThe Help Desk Specialist will be expected to troubleshoot, diagnose, and resolve complex hardware and software problems. To perform this job successfully, an individual must be able to perform each of the essential duties listed below satisfactorily.Help Desk Specialist Responsibilities:Receive all...


  • Columbus, United States Hunter International, Inc Full time

    Help Desk SpecialistColumbus, OHCompetitive Pay and BenefitsThe Help Desk Specialist will be expected to troubleshoot, diagnose, and resolve complex hardware and software problems. To perform this job successfully, an individual must be able to perform each of the essential duties listed below satisfactorily.Help Desk Specialist Responsibilities:Receive all...


  • Columbus, United States Acadia Healthcare Inc. Full time

    * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. * Monitor patient length of stay and extensions and...


  • Columbus, United States International Friendships, Inc. Full time

    Job DescriptionJob DescriptionIntroducing IFI, and why you want to be a Digital Ministry Specialist with us:International Friendships, Inc. is a growing faith-based organization, whose mission is to extend life-changing hospitality and friendship to international college students. We do this by offering services, such as airport pickups, holiday hosting,...

  • Shipping Specialist

    1 week ago


    Columbus, United States JDM Ohio Direct Full time

    Job DescriptionJob DescriptionJob Title: Shipping Specialist - JDM Automotive PartsCompany: JDM Ohio DirectLocation: Columbus, OH 43209About Us: JDM Ohio Direct is a premier supplier of rare Japanese Domestic Market (JDM) automotive parts, specializing in authentic Honda parts imported directly from Japan. With a dedication to quality and authenticity, we...


  • Columbus, United States Educational Service Center of Central Ohio Full time

    Position Type: High School TeachingDate Posted: 4/19/2024Location: Hamilton Township High SchoolDate Available: 24-25 SYDistrict: Hamilton Local Schools - websiteDescription: Located in a suburb of Columbus, Ohio, Hamilton Local School District is seeking an Intervention Specialist Teacher that are well organized, efficient, and self-motivated. If you would...


  • Columbus, United States Community for New Direction Full time

    Job DescriptionJob DescriptionSalary:  Full-time position and must be able to work on some Saturdays!!POSITION SUMMARY:Grant Funded position. If funding is available the position will be extended. Violence Intervention Specialist will work as a liaison between youth, parents and teachers. Provide high-risk youth with strategies for violence intervention,...


  • Columbus, United States Centerstone Full time

    Centerstone is among the nation's leading nonprofit behavioral health systems with thousands of employees dedicated to delivering care that changes people's lives. A dynamic, well-established organization, we offer rewarding opportunities to serve all ages in a variety of settings. Come talk to us about joining the Centerstone team!Job Description:SUMMARY OF...


  • Columbus, United States Centerstone Full time

    Centerstone is among the nation's leading nonprofit behavioral health systems with thousands of employees dedicated to delivering care that changes people's lives. A dynamic, well-established organization, we offer rewarding opportunities to serve all ages in a variety of settings. Come talk to us about joining the Centerstone team! Job Description: SUMMARY...