Top 12 Prior authorization Jobs in Milford, De

Scheduler
Bayhealth —Milford, DE
- $16.98 - $25.48 an hour
- Full-time
- Surgery
- HIPAA
- Mid-level
- 403(b) matching
- Paid holidays
Medical Assistant with clinical and administrative duties
Better Health Medical Center —Georgetown, DE
- $20 - $25 an hour
- Full-time
- Spanish
- Vital signs
- Medical office experience
Quick Apply
7d
Patient Access Specialist I
Bayhealth —Dover, DE
- $17.40 - $26.10 an hour
- Full-time
- Hospital
- Customer service
- High school diploma or GED
- 403(b) matching
- Paid holidays
RX Assistant
Dedicated to Women OBGYN —Dover, DE
- $16 - $24 an hour
- Full-time
- Background check
- Organizational skills
- In-person
- Health insurance
- Dental insurance
Quick Apply
12d
Front Desk
NEPHROLOGY ASSOCIATES P A —Dover, DE
- Email
- CPR Certification
- HIPAA
- Mid-level
- Health savings account
- Disability insurance
Medical Assistant
Clearway Pain Solutions —Seaford, DE
- $17.50 - $20.00 an hour
- Full-time
- Organizational skills
- 1 year
- Reliable transportation
- AD&D insurance
- Disability insurance
Quick Apply
8d
Patient Care Coordinator (Front Desk)
NEPHROLOGY ASSOCIATES of Delaware —Lewes, DE
- $16.50 - $20.00 an hour
- Full-time
- Background check
- CPR Certification
- HIPAA
- Health savings account
- Disability insurance
Quick Apply
4d
Senior Specialist, Patient Access
Ensemble RCM LLC —Lewes, DE
- $18.65 - $19.90 an hour
- Full-time
- Management
- Customer service
- Mid-level
- Tuition reimbursement
Patient Care RN - Radiation Oncology
Bayhealth —Dover, DE
- $37.98 - $58.87 an hour
- Full-time
- Nursing
- Hospital
- Mid-level
- 403(b) matching
- Paid holidays

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Medical Biller/Coder
Bayhealth —Dover, DE
Maintain full cycle of medical billing from completed claims’ submission to full claim’s payments. Position is responsible all aspects of the medical billing…
$21.68 - $32.52 an hour
7d
Certified Coder
Bayhealth —Dover, DE
Abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-9 /ICD-10 and/or CPT-4 codes to patient…
$23.32 - $34.97 an hour

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Revenue Cycle Manager
TOTAL CARE THERAPY LLC —Dublin, OH
Ensure compliance with Medicare, commercial insurance, HIPAA, and all applicable federal and state regulations. Experience leading and developing teams.
$60,000 - $75,000 a year
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4d
Medical Assistant
Central Ohio Primary Care Physicians,Inc —Columbus, OH
Respond to patient phone calls, as appropriate. Assist in patient education with related educational tools, periodicals, flyers, and handouts.
Quick Apply

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prior authorization jobs near milford, de

Scheduler

Bayhealth -
Milford, DE

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Job Details

Full-time
$16.98 - $25.48 an hour

Benefits

403(b) matching
Paid holidays
Disability insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Medical scheduling
Administrative experience
High school diploma or GED

Full Job Description

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?

Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, a s well as stand -alone Emergency Department in Smyrna and a hybrid E mergency Department and Urgent Care in Milton . We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore . Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!

Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:

Generous Paid Time Off and Paid Holidays
Matching 401(k)/403(b) Plans
Excellent Health, Dental, and Vision
Disability and Life Insurance options
On Site Child Care
Educational Reimbursement
Health Care and Dependent Care Flex Spending Accounts
Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: 101 WELLNESS WAY - Nemours Building

Status: Full Time 80 Hours

Shift: Days

SALARY RANGE: 16.98 - 25.48HOURLY

General Summary:

The Surgery Scheduler will schedule, pre-register, organize pre-testing, obtain clearance for surgery and obtain authorization information from insurance companies for scheduled outpatient and inpatient surgical procedures for the practice. The Surgery Scheduler may cross train as a Surgery Scheduler within other physician practices within Bayhealth Medical Group. The Surgery Scheduler will also be responsible for clerical and administrative duties related to the operation of a physician’s practice as directed.

Responsibilities:

1. Ensures timely, efficient, and accurate scheduling of surgery patients in order of receipt. a. Interacts with physician and office staff to schedule procedures in order of priority of patients, calls received, and time slots available. b. Interacts with charge personnel in individual departments for questions with scheduling procedures. c. For patients that may have multiple studies, arranges appointments together as much as possible and in proper sequence. Patient prep for studies must be considered when coordinating studies between modalities. • Books all required surgical procedures with Anesthesia department as schedule permits. d. Recommends and updates scheduling protocols for new or revised procedures. e. Builds relationships with referring physician offices and hospital departments to maintain smooth processes
2. Gains information relative to patient and equipment safety during scheduling and registration process a. Ensures, as much as possible, that at risk patients, such as diabetics and dialysis patients, receive specific preparation instructions. b. Asks all patients if there is known allergy to contrast media. c. Asks all patients if weight above 400 lbs d. Alters schedules if necessary to accommodate time needed to perform the exams. e. Coordinates equipment and equipment company representative for surgery; collaborates with Bayhealth OR Schedulers
3. Completes patient registration process for surgical patients in a timely and efficient manner. a. Explains instructions for pre-surgery and day of surgery to patients. b. Ensures complete and relevant documentation and confirms authorization status. c. Gathers correct billing information during scheduling process from patient (Patient name, SS#, Date of birth, insurance company, and reason for procedure). d. Ensures that pre-registration is completed 24 hours prior to patient’s scheduled appointment time. e. Obtains patient history, labs, medical clearances, x-rays, MRI’s and other pertinent paperwork according to the surgery facility guidelines and faxes to Surgery Center’s Pre Admission prior to patients arrival at surgery center. f. Adheres to HIPAA regulations at all times.
4. Ensures completed documentation and confirms authorization status in order to prevent denial of claims. a. Obtains signs and symptoms and appropriate ICD-9 codes for all scheduled procedures. b. If authorization number is required for patient’s insurance, ensures that follow through is made by 2:30PM the day prior or appointment will be cancelled. c. Scheduler notified physician’s offices if there is a problem with insurance authorization or Medicare in order to prevent denial of payment for services.
5. Assists the office in all aspects of the daily operations as needed; including but not limited to: a. Provides back up support for other Bayhealth Medical Group surgery schedulers or referral specialists as needed. b. Fills in at front desk check in and check out as required. c. Collects demographic and insurance information to schedule patients for office appointments • Ensures other staff is cross trained to cover the position of Surgery Scheduler d. Act as a chaperone in patient exam rooms as needed.
6. Performs all duties in accordance with continuous quality improvement principles and philosophy of organization. a. Participates in performance improvement activities b. Uses the resulting performance improvement activities to initiate change as appropriate
7. Participates as an active, contributing team member within Bayhealth Medical Group: a. Attends regularly scheduled staff meetings, in-services, educational programs, and mandatory education requirements b. Shares knowledge, skills, and experiences with colleagues and peers. c. Provides colleagues and peers with constructive feedback regarding their practice. d. Contributes to a learning environment that is conducive to medical office education. e. Contributes to a team environment by working with others in a way that promotes and encourages each person's contribution. f. Demonstrates flexibility to cover other offices as needed for staff shortages or new office ramp up
8. All other duties as assigned, within the scope and range of job responsibility.

Required Education, Credential(s) and Experience:

Education: High School Diploma or GED
;
;
Credential(s): ;
Experience: Required: One year patient scheduling or clerical experience Preferred: Experience with hospital Cardiology department operations.

Preferred Education, Credential(s) and Experience:

Education: Associate Degree
Certificate Program
Business Administration
Nursing Aide
Credential(s):
Experience:

To view a full list of all open position at Bayhealth, please visit:

https://apply.bayhealth.org/join/

Apply Now

Refine Your Search

prior authorization jobs in milford, de

Scheduler

Medical Assistant with clinical and administrative duties

Patient Access Specialist I

RX Assistant

Front Desk

Medical Assistant

Patient Care Coordinator (Front Desk)

Senior Specialist, Patient Access

Patient Care RN - Radiation Oncology

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