Top 2042 Associate, quality engineering Jobs in Independence, Ky

Authorization Specialist Associate -Remote
The Christ Hospital Health Network —Cincinnati, OH
- Full-time
- Writing skills
- Mid-level
- High school diploma or GED
3d
Store Associate
CVS Health —Covington, KY
- $15 an hour
- Part-time
- No high school diploma
- High school diploma or GED
- 16+ years old
- Dental insurance
- Vision insurance
Entry-Level Retirement Operations Associate, (CRS)
Strongpoint Partners —Cincinnati, OH
- Hybrid work
- Computer literacy
- Basic math
- No experience needed
- Disability insurance
- Health insurance
Quick Apply
Data Scanning Associate
RDSolutions —Independence, KY
- Part-time
- 18 years or older
- Clean driving record
- No experience needed
- Mileage reimbursement
- 401(k) matching
Junior Warehouse Operations Associate
l'Oréal —Florence, KY
- Overtime
- Engineering
- Warehouse
- Manufacturing
Quick Apply
13d
Student Co-op - Engineering
Mubea —Florence, KY
- Overtime
- Microsoft Access
- Analysis skills
- Electrical Engineering
10d
Student Co-op - Engineering
Muhr und Bender KG —Florence, KY
- Overtime
- Microsoft Access
- Analysis skills
- Electrical Engineering
10d
Materials Development Associate Researcher
Procter & Gamble —Cincinnati, OH
- $61,600 - $70,850 a year
- Online Application
- Microsoft Excel
- Microsoft Outlook
- High school diploma or GED
13d
Quality Technician
Jabil Circuit —Florence, KY
- Full-time
- Computer literacy
- Basic math
- Windows
Warehouse Associate
QUIPT HOME MEDICAL INC —Wilder, KY
- Monday to Friday
- Background check
- Computer literacy
- No experience needed
- Paid holidays
- Disability insurance
Quick Apply
Temporary Helpdesk Associate (KY)
FUN.com —Elsmere, KY
- Temporary
- Warehouse
- Cleaning
- Entry level
Quick Apply
Front Office Associate - Dental Center of Florence
SGA Dental Partners —Florence, KY
- $20 - $22 an hour
- Full-time
- Dental office
- Pass drug screening
- Entry level
- Paid holidays
- Health insurance
Quick Apply
6d
Junior Supply Chain Associate - 12 Months
l'Oréal —Florence, KY
- Overtime
- Engineering
- Business
- Communication skills
Quick Apply
Associate Athletics Director
Northern Kentucky University —Highland Heights, KY
- Full-time
- University
- Bachelor's degree
- Mentoring
19h
Pilot Plant Associate Operator - Erlanger, Ky
ADM —Erlanger, KY
- $41,600 - $71,000 a year
- Overtime
- Microsoft Word
- Background check
- Microsoft Excel
- Paid parental leave
- Health savings account
Packaging Associate - Immediate Start
Customand —Cincinnati, OH
- $19 - $26 an hour
- Urgently hiring
- High school diploma or GED
- Ability to lift 50 pounds
- Warehouse
- Paid training
- Dental insurance
Quick Apply
7d
Sales Associate
World Market —Crestview Hills, KY
- Part-time
- Merchandising
- 16+ years old
- Fair chance
- Health insurance
- Dental insurance
Quick Apply
9d
CASEWORK ASSOCIATE
City of Cincinnati —Cincinnati, OH
- $49,928.84 - $52,919.52 a year
- Full-time
- Writing skills
- English
- Mid-level
- Health savings account
- Paid holidays
7d
Tutoring & Library Specialist (Library Associate I)
Kentucky Community and Technical College System —Edgewood, KY
- $41,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Health insurance
Associate Representative
Client Core Solutions —Cincinnati, OH
- $3,000 - $7,000 a month
- Part-time
- Hybrid work
- Leadership
- Communication skills
- Entry level
- Flexible spending account
- Parental leave
Quick Apply
7d

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Authorization Specialist Associate -Remote

The Christ Hospital Health Network -
Cincinnati, OH

Apply Now

Job Details

Full-time
3 days ago

Qualifications

High school diploma or GED
Insurance regulation

Full Job Description

The Authorization & Cost Estimate Specialists are responsible for collecting necessary insurance benefit and clinical information to authorize services or provide an accurate cost estimate for services based on the patient’s insurance benefits. This is a remote position that does require onsite attendance quarterly or as needed for training purposes.

The Authorization Specialist must have clinical knowledge of services so appropriate information can be communicated/given to the insurance company which will ensure the service is rendered in the correct level of care. Reimbursement for the service rendered is dependent upon the insurance benefit verification process and meeting the authorization requirements of the insurance company.

The Cost Estimate Specialist determines the cost for the service by applying the patient benefits / coverage information and estimate functionality accessible through IT applications. This process is essential to ensuring the patient understands their financial responsibilities for the service rendered. This is a very dynamic environment as insurance plans, benefits, and coverage structures change frequently and the turnaround is essential so that treatment is not delayed.

This individual will need expert knowledge of insurance plans, insurance regulations, and insurance benefit and coverages as they relate to the service rendered. Additionally, this team serves as a point of contact within the organizations for questions and issues as they relate to insurance plans and coverage information.

The duties and responsibilities this individual performs is solely dependent on the organization receiving reimbursement for the service rendered and ensuring the patients cost are clearly identified.

Authorization

Utilizes online systems, phone communication, and other resources to verify eligibility and benefits, determine extent of coverage, secure pre-authorizations, and determine patient liabilities within a timeframe before scheduled appointments determined by The Christ Hospital Health Network and during or after care for unscheduled patients.
Verifies medical necessity in accordance with the Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient.
Coordinates benefits by effectively determining primary, secondary, and tertiary liability when needed.
Obtains pre-certifications and pre-authorizations from third-party payers in accordance with payer requirements.
Alerts physician offices to issues with verifying insurance and/or obtaining pre-authorizations.
Demonstrates understanding of insurance terminology (e.g., co-payments, deductibles, allowances, etc.), and analyzes information received to determine patients’ out-of-pocket liabilities.
Connects patients with financial counselors when further explanation or education is needed or requested regarding payment plans or financial assistance; may conduct some basic financial counseling duties as necessary.

Cost Estimates

Utilizes online systems, phone communication and other resources to verify eligibility and create a cost estimate for scheduled services based on patient benefits.
Communicates liabilities directly to patients and provides education on key insurance terms and rules; may often handle patients with more complicated insurance plans (e.g., workers’ comp)
Documents the cost estimate in the EHR so that it can be collected prior to or on the date of service by Patient Access Coordinators and front desk staff.
Demonstrates understanding of insurance terminology (e.g., co-payments, deductibles, allowances, etc.), and analyzes information received to determine patients’ out-of-pocket liabilities.
Connects patients with financial counselors when further explanation or education is needed or requested regarding payment plans or financial assistance; may conduct some basic financial counseling duties as necessary.
Notifies physician offices when patients are scheduled that have out of network or limited benefit plans.

Communication

Communicates with patients, physicians, clinicians, front-end staff, or translators to obtain missing patient demographic or insurance information.
Communicates liabilities directly to patients and provides education on key insurance terms and rules; may often handle patients with more complicated insurance plans (e.g., workers’ compensation)
Maintains excellent relationships with physician’s offices, insurance companies and other hospital departments.

KNOWLEDGE AND SKILLS:

Knowledge of the following preferred: EHR Programs (e.g., Epic), medical terminology, insurance plans and benefits
Proficient critical thinking, detail oriented, and problem-solving skills
Excellent communication (written and verbal) and interpersonal skills
Exceptional time management, conflict resolution, and multitasking skills
Works well in a team environment and able to work independently
Proficient in Microsoft Office products
Exhibits professionalism, trustworthiness, honesty, and integrity
Customer service and/or call center experience preferred.

EDUCATION: High School Diploma or GED required. Associate or bachelor’s degree in healthcare administration or related preferred.

YEARS OF EXPERIENCE: One to two years of registration or insurance verification related experience preferred.

Apply Now

Refine Your Search

associate, quality engineering jobs in independence, ky

Authorization Specialist Associate -Remote

Store Associate

Entry-Level Retirement Operations Associate, (CRS)

Data Scanning Associate

Junior Warehouse Operations Associate

Student Co-op - Engineering

Student Co-op - Engineering

Materials Development Associate Researcher

Quality Technician

Warehouse Associate

Temporary Helpdesk Associate (KY)

Front Office Associate - Dental Center of Florence

Junior Supply Chain Associate - 12 Months

Associate Athletics Director

Pilot Plant Associate Operator - Erlanger, Ky

Packaging Associate - Immediate Start

Sales Associate

CASEWORK ASSOCIATE

Tutoring & Library Specialist (Library Associate I)

Associate Representative

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