Top 173 Precertification coordinator Jobs

Utilization Review Coordinator
Neuropsychiatric Hospitals —Huber Heights, OH
- Full-time
- Nursing
- Psychiatry
- Mid-level
- Health insurance
- Dental insurance
Referrals and Precertification Coordinator
Retina Houston MSO LLC —Houston, TX
- Mid-level
- High school diploma or GED
- Bachelor's degree
Quick Apply
Front Desk Coordinator - Part Time with Benefits
RestorixHealth —Los Angeles, CA
- $25 - $35 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Hospital
- Health savings account
- AD&D insurance
Quick Apply
Insurance Verification Coordinator
Center for Vein Restoration —Greenbelt, MD
- $20 - $22 an hour
- Full-time
- Medical office experience
- Administrative experience
- Organizational skills
- Paid holidays
- Health insurance
Quick Apply
Global Assistance Coordinator
International Medical Group —Remote
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Outlook
- Computer literacy
- Travel reimbursement
- Paid parental leave
Precertification & Scheduling Coordinator - Allergy Center - Physician Practice
Hackensack Meridian Health —Hackensack, NJ
- From $24.34 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Medical terminology
- Health insurance
- Dental insurance
Insurance Precertification Coordinator
Center for Vein Restoration —Greenbelt, MD
- $17 - $19 an hour
- Full-time
- Medical office experience
- Administrative experience
- Organizational skills
Quick Apply
Utilization Management Coordinator
Rutgers University —Piscataway, NJ
- $71,162 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Dental insurance
12d
Billing Coordinator (Scheduler) - Infusion
St. Luke's Hospital - MO —Chesterfield, MO
- Part-time
- Medical office experience
- Mid-level
- High school diploma or GED
- Health savings account
- 401(k)
12d
Referral and Authorization Coordinator
Premier Orthopaedics and Sports Medicine —Folsom, PA
- Full-time
- Computer literacy
- Urgent Care
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Associate Patient Care Coordinator
Optum —San Antonio, TX
- $16 - $29 an hour
- Urgently hiring
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- AD&D insurance
- Employee stock purchase plan
11d
Utilization Review Coordinator
HRI Hospital —Brookline, MA
- Full-time
- Psychiatry
- Licensed Clinical Social Worker
- Mid-level
- Free parking
- Health insurance
8d
Referral/Pre-Certification Coordinator (8a-5p) - Rogersville, TN
Ballad Health —Rogersville, TN
- Full-time
- Writing skills
- HIPAA
- Mid-level
Patient Care Coordinator
Optum —Golden, CO
- $18 - $32 an hour
- 8 hour shift
- Pass drug screening
- High school diploma or GED
- Math
- AD&D insurance
- Employee stock purchase plan
3d
Front Desk Coordinator-HBO Tech - Full Time
RestorixHealth —Wayne, NJ
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Hospital
- Health savings account
- AD&D insurance
Quick Apply
12d
FT New Patient Coordinator- Transplant Administration
Penn Medicine —Philadelphia, PA
- Full-time
- 5 years
- Word processing
- Medical office experience
- Tuition reimbursement
Quick Apply
Referral Coordinator
Advanced MSO —El Centro, CA
- $17 - $23 an hour
- Part-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Medical office experience
- Paid holidays
- Health insurance
Quick Apply
5d
Referral Coordinator
The Swift Institute —Reno, NV
- Computer literacy
- Mid-level
- Office
Quick Apply
Referral/Pre-Certification Coordinator (8a-5p) - Abingdon, VA
Ballad Health —Abingdon, VA
- $16.25 - $23.13 an hour
- Full-time
- Writing skills
- HIPAA
- Mid-level
Pre-Certification Coordinator II - Pediatric Endocrinology
Washington University in St Louis —St. Louis, MO
- $23.63 - $35.49 an hour
- Online Application
- Pass drug screening
- HIPAA
- Mid-level
- Commuter assistance
- Health insurance

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Utilization Review Coordinator

Neuropsychiatric Hospitals -
Huber Heights, OH

Apply Now

Job Details

Full-time

Benefits

Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
Employee discount

Qualifications

Customer communication
Employee relationship building
Transitional care planning in clinical case management
Bachelor's degree
Clinical data entry
Utilization management
Resource utilization in healthcare
Managing patients as a clinical case manager
Hospital experience
Quality data entry

Full Job Description

About Us:

Healing Body and Mind.

NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it’s needed most.

With locations in Indiana, Michigan, Texas, and Arizona, we’re expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day

Overview:

North Valley Behavioral Hospital, a brand new psychiatric hospital within the NeuroPsychiatric Hospitals network, is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.

Benefits of joining NPH

Competitive pay rates
Medical, Dental, and Vision Insurance
NPH 401(k) plan with up to 4% Company match
Employee Assistance Program (EAP) Programs
Generous PTO and Time Off Policy
Special tuition offers through Capella University
Work/life balance with great professional growth opportunities
Employee Discounts through LifeMart

Responsibilities:

Filing documents as needed.
Initial Precertification with payors.
Concurrent Clinical review with payors.
Document in the electronic system daily in real time.
Admission audit.
Ensures that CON’s/RON’s and CMS certifications are completed by provider.
Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
Complies with hospital expectations regarding ethical behavior and standards of conduct.
Complies with federal and hospital requirements in the areas of protected health information and patient information.
Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
Provides education to nursing staff. leadership team, and providers regarding documentation.
Actively works with the business office regarding resolution of appeals/denials and retrospective reviews.

Qualifications:

Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.

Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.

Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.

Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW

Apply Now

Refine Your Search

precertification coordinator jobs

Utilization Review Coordinator

Referrals and Precertification Coordinator

Front Desk Coordinator - Part Time with Benefits

Insurance Verification Coordinator

Global Assistance Coordinator

Precertification & Scheduling Coordinator - Allergy Center - Physician Practice

Insurance Precertification Coordinator

Utilization Management Coordinator

Billing Coordinator (Scheduler) - Infusion

Referral and Authorization Coordinator

Associate Patient Care Coordinator

Utilization Review Coordinator

Referral/Pre-Certification Coordinator (8a-5p) - Rogersville, TN

Patient Care Coordinator

Front Desk Coordinator-HBO Tech - Full Time

FT New Patient Coordinator- Transplant Administration

Referral Coordinator

Referral Coordinator

Referral/Pre-Certification Coordinator (8a-5p) - Abingdon, VA

Pre-Certification Coordinator II - Pediatric Endocrinology

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