Pre-Cert Specialist Job at Signature HealthCARE, LLC (Louisville)

Pre-Cert Specialist

Signature HealthCARE is a family-based healthcare company offering integrated se...

Location

United States , Lexington

Salary:

Not provided

Signature HealthCARE, LLC

Expiration Date

Until further notice

Requirements

Registered Nurse or Licensed Practical/Vocational Nurse with current state license, preferred
Three (3) years’ experience in a Long-Term Care environment preferred working directly with Managed Care Services
Experience with the Case Management Process
Effective verbal and written English communication skills
Demonstrated advanced skills in Microsoft Word, Excel, Power Point and Outlook, Internet and Intranet navigation, and Adobe
Highest level of professionalism with the ability to maintain confidentiality
Customer service oriented with the ability to work well under pressure
Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity
Strong analytical and problem-solving skills
Ability to work with minimal supervision, take initiative and make independent decisions

Job Responsibility

Meet the physical and sensory requirements stated below and be able to work in the described environment
Working closely with Signature Intake Solutions to initiate and obtain managed care authorizations promptly via process used by Signature Healthcare
If a preferred vendor is required by the health plan for ancillary needs ( x-ray, pharmacy, ambulance, DME, etc) communicate that using Signature Healthcare Process
Documents authorizations, exclusions and other key information to the team using defined processes
Works as the liaison between the insurance pre-cert department and Signature to assure appropriate process are followed
Responsible for collaborating with other members of the managed care team as required to assure successful managed care outcomes
Ensures compliance with federal and state regulations as well as the Signature HealthCARE companies policies and procedures
Cooperatively works with the Sales and Marketing team
Conducts job responsibilities in accordance with the standards set by the Code of Conduct, Policies and procedures, applicable federal and state laws, and applicable professional standards

What we offer

Medical, Dental and Vision – Voluntary Life/Disability
401(K) and Roth 401(K)
Tuition Forgiveness/Education Reimbursement
A variety of additional specialized Insurances
Pay Advance and Next Day Pay!
Paid Time Off (PTO)
Partner Perks and Discounts!
Reward & Recognition Program (HEART)
Vital Links

Fulltime

Pre-Reg Pre-Cert Specialist

The Pre-Reg/Pre-Cert Specialist is responsible for identifying patients who qual...

Location

United States , Liberty

Salary:

Not provided

The University of Kansas Health System

Expiration Date

Until further notice

Requirements

High School Graduate or GED
1 or more years of experience in Epic
1 or more years of prior experience in pre-registration or prior authorization

Job Responsibility

Works reports daily according to duty specifications to retrieve all un-contacted patients prior to service
Utilizes worklists to pre-register / pre-certify hospital services
Conducts telephone interviews as needed with patients to elicit demographic information and third-party payer data that will be needed for billing purposes
Enters patient data directly into registration systems
Ensures that MSPQ is completed when appropriate
Verifies with third party payor dependent eligibility, certificate and group numbers, co-payment and deductible amounts, statement mailing address, etc
Complies with Medicare / Medicaid and other insurance rules and regulations
Works closely with the clinics, hospital ancillary departments, and patient financial advisors regarding potential complications regarding insurance coverage
Secures accounts per established departmental policy
Contact provider office immediately of any restrictions denying services, such as inability to obtain pre-certification or any lock-in program by any agency

Fulltime

Pre-Reg Pre-Cert Specialist

The Pre-Reg/Pre-Cert Specialist is responsible for identifying patients who qual...

Location

United States , Liberty, MO

Salary:

Not provided

The University of Kansas Health System

Expiration Date

Until further notice

Requirements

High School Graduate or GED
1 or more years of experience in Epic
1 or more years of prior experience in pre-registration or prior authorization

Job Responsibility

Works reports daily according to duty specifications to retrieve all un-contacted patients prior to service
Utilizes worklists to pre-register / pre-certify hospital services
Conducts telephone interviews as needed with patients to elicit demographic information and third-party payer data
Enters patient data directly into registration systems
Verifies with third party payor dependent eligibility, certificate and group numbers, co-payment and deductible amounts, statement mailing address, etc
Works closely with the clinics, hospital ancillary departments, and patient financial advisors regarding potential complications regarding insurance coverage
Secures accounts per established departmental policy
Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department

Parttime

New

Banquet & Outlet Manager

Areas of responsibility include Restaurants/Bars and Room Service, if applicable...

Location

Malaysia , Langkawi

Salary:

Not provided

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

High school diploma or GED
4 years experience in the food and beverage, culinary, or related professional area
OR 2-year degree from an accredited university in Food Service Management, Hotel and Restaurant Management, Hospitality, Business Administration, or related major
2 years experience in the food and beverage, culinary, or related professional area

Job Responsibility

Supervises daily restaurant operations
Assists with menu planning
Maintains sanitation standards
Assists servers and hosts on the floor during peak meal periods
Supervises and manages employees
Manages all day-to-day operations
Maintains service and sanitation standards in restaurant, bar/lounge and room service areas
Reviews staffing levels
Utilizes interpersonal and communication skills to lead, influence, and encourage others
Advocates sound financial/business decision making

Fulltime

New

Pharmacy Intern

You’ve invested a lot of time and energy in your education. Now you want the cha...

Location

United States , Ramsey

Salary:

18.00 - 19.75 USD / Hour

CVS Health

Expiration Date

April 24, 2026

Requirements

Accepted into or actively enrolled in an ACPE accredited college or school of pharmacy
0-3 years relevant work experience
Must possess or be in process of obtaining valid intern and/or technician licensure as required
Strong communication and presentation skills
Complete all required training within state guidelines and required timeframe
Ability to: Have regular and predictable attendance, including nights and weekends
Be mobile and remain upright for extended periods of time
Lift, scan, and bag items
Finger Dexterity: Picking, pinching, typing or otherwise working primarily with fingers rather than whole hand or arm
Reach overhead

Job Responsibility

Patient Safety
Pharmacy Professional Practice
Regulatory Requirements
Quality Assurance
Customer Service
Inventory Management
Workflow Management excluding final prescription verification
Lead with Heart – display empathy and compassion for your patients, customers, caregivers, and colleagues on your team
Seek new ways to grow, collaborate with others, and deliver better outcomes
Align others around our purpose to bring your heart to every moment of your health and gain support and commitment

New

Plant Operator- Front End Loader

Ertech is seeking an experienced Front End Loader Operator to join our team NOR ...

Location

Australia , Perth

Salary:

Not provided

Ertech

Expiration Date

March 23, 2026

Requirements

Proven Civil construction sub divisional experience
Proven road construction experience
National Competency Tickets
Full working rights

Job Responsibility

Bulk Earthworks
Backfilling Retaining walls
Road construction
Service installation
Unloading and loading trucks

What we offer

Competitive hourly rates + penalties
Immediate Starts Available - Quick Mobilisation
Long-term permanent employment with career growth and progression
Discounted Private Health – HBF & Medibank
Annual FLU Vac’s
Novated Lease via Paywise
Service Recognition
Employee Referral Program
Employee Assistance Program (EAP) for you and your family

Fulltime

New

Credit Control Manager

The Credit Control Manager is responsible for leading and developing the credit ...

Location

United Kingdom , Southampton

Salary:

45000.00 - 55000.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Proven experience as a Credit Control Manager or senior AR lead within a fast-paced corporate environment
Strong background in high-volume B2B credit control
Hands-on experience managing trade credit insurance, including: Liaison with insurers and brokers, Setting and monitoring insured credit limits, Managing claims, overdue debt, and policy compliance
Demonstrable experience managing credit risk and complex customer portfolios
Advanced Excel skills (e.g. pivot tables, lookups, data analysis)
Experience leading and developing a credit control team
Strong stakeholder management and communication skills
Results-driven with a clear focus on cash collection and risk mitigation

Job Responsibility

Own the end-to-end credit control process, ensuring timely and accurate collection of customer debt
Monitor and actively manage aged debt, prioritising high-value and high-risk accounts
Deliver and maintain cash collection targets aligned to business forecasts
Lead the resolution of complex or escalated customer payment issues and disputes
Partner with Sales and Operations to balance commercial objectives with credit risk
Set and review credit limits and payment terms in line with internal policy
Carry out customer credit assessments using financial information, credit agencies, and trading history
Ensure adherence to internal controls, delegated authorities, and audit requirements
Proactively identify emerging credit risks within the customer portfolio
Lead, coach, and develop the credit control team to drive performance and accountability

What we offer

Annual Bonus
25 Days holiday (plus bank holidays)
Life Assurance 4x basic salary
Contributory Pension (Up to 7% Company contributions)
Employee Perks portal, GP helpline and assistance programmes
Enhanced parental leave
Company events

Fulltime

New

Property Portfolio Officer

We are seeking a Contractor to support the delivery of timely, accurate, and hig...

Location

Australia , Parramatta

Salary:

Not provided

Randstad

Expiration Date

March 28, 2026

Requirements

Proven experience in the insurance industry with a strong knowledge of property insurance
Ability to manage high-volume caseloads with accuracy while working effectively under pressure
Strong attention to detail and sound judgment when reviewing insurance and valuation information
Confident communication skills to liaise effectively with customers and external service providers
Ability to coordinate and manage external service providers efficiently
Understanding of the needs of vulnerable or older people within a customer service context
Willingness to participate in quality assurance processes, including call and email monitoring

Job Responsibility

Deliver timely, consistent, and high-quality customer services, including managing financial transactions for property insurance in line with core service principles
Undertake property-related functions, including coordinating insurance and valuations for customer-owned properties and managing external service providers
Review insurance and valuation documentation to ensure data accuracy and compliance with organizational standards
Provide accurate, professional support and information to customers, colleagues, and stakeholders
Use internal systems and processes to manage customer-owned properties and contribute to process improvements
Escalate complex matters to senior leadership when required
Demonstrate the agency’s values and professional behaviors in every interaction

Fulltime

Pre-Cert Specialist

Signature HealthCARE, LLC

Location:
United States , Louisville

Category:
-

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
January 06, 2026

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