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

Pre-Cert Specialist

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

Location

United States , Louisville

Salary:

Not provided

Signature HealthCARE, LLC

Expiration Date

Until further notice

Requirements

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
Ability to deal with new tasks without the benefit of written procedures

Job Responsibility

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

Assistant Bakery Manager

Join us to "Change Hospitality For Good". Here at the Cornish Bakery, we want to...

Location

United Kingdom , Newquay

Salary:

30305.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Eligible to live and work in the UK

Job Responsibility

Lead on shifts to support your Team in delivering outstanding service
Train and coach our team to Brand Standards
Make the World’s Best Coffee
Prepare Award Winning Food
Make the most of colleagues’ strengths and ensure that they are in the right place to maximise sales
Assist in embedding the ‘High End Bakery’ mindset within the team
Nourish our teams to support their personal development
Establish the bakery as the heart of the local community
Inspire your team to deliver industry leading service every time
Drive a culture of high performance through team engagement

What we offer

50% discount on food and drink
Up to 33 days of holiday (including bank holidays), pro rata if necessary
Pasty Perks – our bespoke reward system that offers discounts and savings on your favourite brands
Financial well-being benefit through Stream –save directly from wages into a high interest savings account or access wages before pay-day
Employer funded health and wellbeing services, with access to a 24/7 GP line, Employee Assistance Program and discounted gym memberships
Employer funded healthcare cash plan, with money off optical and dental treatment
Paid birthday day off
Member of the shareholder fund (service dependent)
Company Sick Pay
A competitive bonus scheme, based on bakery results we achieve together

Fulltime

New

Food & Beverage Attendant - In Room Dining

At Marriott Hotels, you will help keep the promise of “Wonderful Hospitality. Al...

Location

Australia , Sydney

Salary:

Not provided

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

A genuinely warm & welcoming demeanour
Personable communication skills
Energising motivation
A passion for the industry, a want to be the best in service
Valid NSW Responsible Service of Alcohol
Follow all company and safety and security policies and procedures
report accidents, injuries, and unsafe work conditions to manager
and complete safety training and certifications
Ensure uniform and personal appearance are clean and professional, maintain confidentiality of proprietary information, and protect company assets
Speak with others using clear and professional language, and answer telephones using appropriate etiquette

Job Responsibility

Complete closing duties, including storing all reusable goods, breaking down goods, cleaning all equipment and areas, returning equipment to proper locations, locking refrigerators, restocking items, turning off lights, locking doors, and completing daily cleaning checklist
Set up, stock, and maintain work areas
Inspect the cleanliness and presentation of all china, glass, and silver prior to use
Maintain cleanliness of work areas throughout the day, practicing clean-as-you-go procedures
Welcome and acknowledge all guests according to company standards
Ensure adherence to quality expectations and standards

What we offer

Team-spirited co-workers
Encouraging leadership
Discounted room rates on hotels worldwide
Discount on food and beverages at participating Marriott International hotels worldwide
Recognition programs to keep you motivated
Wellbeing & mindfulness programs to ensure you stay healthy
Paid birthday leave
Training and development

Parttime

New

Pharmacy Intern - Grad

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

Location

United States , Washington

Salary:

20.25 - 42.00 USD / Hour

CVS Health

Expiration Date

May 01, 2026

Requirements

PharmD graduate of a U.S. accredited program prior to beginning the Post-Graduate Training Program at CVS Health
Ability to obtain required pharmacist licensure within the required timeframe, per state guidelines. Failure to obtain required Pharmacist licensure within 120 days of graduation will result in separation of employment.
Must possess, or be in the process of obtaining, valid intern and/or technician licensure as required
Regular and predictable attendance, including nights and weekends
Ability to complete required training within designated timeframe
Attention and Focus: Ability to concentrate on a task over a period of time
Ability to pivot quickly from one task to another to meet patient and business needs
Ability to confirm prescription information and label accuracy, ensuring patient safety
Customer Service and Team Orientation: Actively look for ways to help people, and do so in a friendly manner
Notice and understand patients’ reactions, and respond appropriately

Job Responsibility

Apply didactic learning from pharmacy school and pharmacy practice into real-world practice to become ready for a Pharmacist role
Complete a comprehensive training roadmap within 120 days of graduation designed to further your knowledge of store, district, and regional operations
Deepen your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection
Assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds patient expectations
Learn to operate as part of the pharmacy team through consistent application of Standard Operating Procedures (SOPs), best practices, and effective communication
Demonstrate empathy and genuine care, and contribute to a safe and inclusive culture where all people feel valued and empowered
Living our purpose by following all company SOPs at each workstation to help our Pharmacists and Technicians manage and improve patient health
Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
Contributing to positive patient experiences by showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone
keeping patients healthy by offering immunizations and other services at the register and over the phone

Fulltime

New

Home Health Occupational Therapist

We are looking for an Occupational Therapist (OT) to join our team! You will uti...

Location

United States , Palm Harbor

Salary:

85000.00 - 105000.00 USD / Year

Aveanna Healthcare

Expiration Date

Until further notice

Requirements

Degree in Occupational Therapy from an accredited university/program
Current, unrestricted state license as an Occupational Therapist in the state of practice
Valid CPR

Job Responsibility

Perform initial and ongoing assessments to evaluate mobility, coordination, strength and current level of function
Responsible for administration, evaluation, and interpretation of tests and measurements to determine functional goals and outcomes
Provide a written evaluation and plan of care defining occupational therapy needs, goals, progress and expected outcomes
Delivery of occupational therapy services to comply with prescribed physician orders
Maintains plan of care by performing timely documentation of client performance, modifying goals and treatment as needed, and determine discharge care plans as appropriate
Responsible for discharge planning, including collaborating and educating the patient and his/her caretakers on home exercise plan to follow discharge
Participates in coordination of services with health care team, physicians, parent/guardians, nurses, etc
Documents according to policy and procedure and requires minimal supervision or instruction
Documents effectively resulting in no technical or clinical denials subsequent to review of documentation by payers
Maintain effective communication between staff, healthcare team members and family. Serve as a resource consultant for clinical staff

What we offer

Thorough training
Flexible schedules
Electronic charting
Access to a clinical supervisor 24/7
Tuition Reimbursement
Advancement opportunities
Weekly pay via multiple payment options

Fulltime

New

Housekeeper

We are looking for a Housekeeper to join our friendly Nursing Home team. You wil...

Location

United Kingdom , Nailsea

Salary:

12.25 GBP / Hour

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Experience working as a Housekeeper or Cleaner
Caring, and compassionate nature
The desire to make a positive contribution to the lives of others
Good written/verbal communication and interpersonal skills
The ability to work as part of a team
Flexibility

Job Responsibility

Maintaining a clean and homely environment for our residents
Working in all areas of the home from bedrooms and bathrooms to lounges and dining rooms
Ensuring everyone can enjoy a clean, tidy and welcoming environment

What we offer

Comprehensive induction programme
Ongoing training and development
Workplace pension
Free DBS
Free Uniform
Free on-site parking

Parttime

Pre-Cert Specialist

Signature HealthCARE, LLC

Location:
United States , Lexington

Category:
-

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
January 06, 2026

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