2 intern jobs found

BPN Insurance Verification and Authorization Specialist GENERAL SUMMARY: Reviews all procedures,referrals and prescription medications with the applicable insurance policies to ensure all the payer required guidelines are met prior to the service being rendered to ensure maximum reimbursment. Responsible for communication with all offices and appropriate personnel regarding the authorizaiton of services. Responsible for any required retro-authorizations as well as communicating any peer-to-peer review requirements between the payer and the ordering provider or assigned advanced physician provider. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs of Bryan Health and consistently demonstrates our core values. 2. *Serves as work resource and liaison to hospital departments, physician offices and patients for pre-service authorization. 3. *Adheres to federal regulations regarding Advance Directives, COBRA, Medicare, Corporate Compliance,...

Medical Lab Tech / Medical Lab Scientist - Customer Service GENERAL SUMMARY: Performs high complexity medical laboratory tests, procedures and analyses to provide data for diagnosis, treatment and prevention of disease. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Serves as CLIA-defined General Supervisor, and/or oversees other laboratory staff members’ performance of laboratory tests according to laboratory standards, policies and procedures in a timely thorough manner and performs all laboratory procedures in all functional areas within the laboratory. 3. *Analyzes test results and enters data into the computer using laboratory standards, policies, and procedures. 4. *Performs and analyzes quality control measures to ensure accurate clinical data; analyzes unacceptable quality control results and troubleshoots shifts or trends as necessary. 5. *Maintains competency and proficiency...