2 general medicine jobs found in Marietta

In an environment of continuous quality improvement, the Precertification Assistant is responsible for assisting with the review of scheduled tests and surgeries, to verifying insurance information and coverage, determine authorizations, medical necessity is obtained, or medical coverage, for proper payment of testing. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times. Job Functions: Acquires skills and maintains knowledge of system applications/websites used in precertification. Determines if test/procedure requires authorization. Reviews order for completeness. Obtains appropriate authorization, checks medical necessity for Medicare patients, reviews Commercial Insurance medical policies to ensure proper payment from Insurance is received. Contacts the provider’s office via telephone or task to place a patient’s testing on hold if authorization isn’t obtained. Notifies the providers office if a Peer to Peer option is...

In an environment of continuous quality improvement, the Pre-Admission Testing Nurse is responsible for coordinating registration for any patient requiring pre-admission testing, including coordination of pre-surgery testing of patients for outpatient surgery and same day surgery. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times. Job Functions: Accountable that patient care meets standards of safety, effectiveness, patient rights and guest relations, provides education for patients and collaborates with other disciplines. Conducts Perioperative Phone Screening of pre-operative surgical patients and makes pre-operative calls to provide arrival time and instructions to patients going for surgery. Responsible for organizing and directing activities in accordance with nursing standards, TJC, Medicare and all other applicable federal, state and local guidelines. PAT RN may assume the following PAT responsibilities: contact, by way...