Top 4 Prior authorization specialist Jobs in Biloxi, Ms

Precertification Specialist - Central Scheduling - Days - FT Biloxi Location
Memorial Hospital at Gulfport —Gulfport, MS
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
4d
Precertification Specialist II - Central Scheduling - Days - FT Biloxi Location
Memorial Hospital at Gulfport —Gulfport, MS
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
4d
PRN Patient Experience Associate/Care Coordinator
Sage Health —Gulfport, MS
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply

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Precertification Specialist - Central Scheduling - Days - FT Biloxi Location
Memorial Hospital at Gulfport —Gulfport, MS
Required: Minimum of one year previous clerical experience. Balances cash sheets and audits. Creates estimates of charges based on available information and…
4d
Precertification Specialist II - Central Scheduling - Days - FT Biloxi Location
Memorial Hospital at Gulfport —Gulfport, MS
Required: Minimum of one year previous clerical experience. Balances cash sheets and audits. Creates estimates of charges based on available information and…
4d

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prior authorization specialist jobs near biloxi, ms

Precertification Specialist - Central Scheduling - Days - FT Biloxi Location

Memorial Hospital at Gulfport -
Gulfport, MS

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Job Details

Full-time
4 days ago

Qualifications

High school diploma or GED
Clerical experience

Full Job Description

The Precertification Specialist is responsible for verifying patient demographics and insurance benefits, assuring authorizations for service are in place, and informing patient of estimated payment amount. The Precertification Specialist I maintains a resource schedule and acts as a liaison with the patient, provider, physician, and insurance companies.

Ensures completeness and integrity of patient registration
- Verifies and documents patient demographics, guarantors, and insurance information
- Validates correct insurance at the time of registration and maintains a 4% or less error rate
- Completes the pre-admission processes specific to assignment
- Monitors schedules of assigned areas for added tests or procedures
- Documents all accounts with pertinent information not limited to follow-up needed by hospital personnel
Performs financial processes and communicates patient's responsibility
- Creates estimates of charges based on available information and collects pre-payments when necessary
- Communicates financial options to patients prior to testing with possible referral to Financial Counselors
- Screens testing urgency based on patient's ability to pay
- Balances cash sheets and audits
- Assures the MHG financial policy qualifications are met
- Monitors authorization status and alerts Provider Staff or Precertification Specialist II if not received at least 3 days prior to date of service
- Obtains copies of authorizations for non-MHG providers to receive reimbursement for MHG
- Communicates with provider to modify testing/procedure orders to a medically necessary diagnosis based on payer guidelines
- Education Requirement
- Required: High School Diploma or GED equivalent
- Preferred: Certification or vocational training
- Experience Requirement
- Required: Minimum of one year previous clerical experience
- Preferred: Minimum years of relevant experience 2-4

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prior authorization specialist jobs in biloxi, ms

Precertification Specialist - Central Scheduling - Days - FT Biloxi Location

Precertification Specialist II - Central Scheduling - Days - FT Biloxi Location

PRN Patient Experience Associate/Care Coordinator

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