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Stanford Children's Health - Lucile Packard Children's Hospital
Palo Alto, California
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Sr Financial Clearance Specialist, MNPS Clinic
Description JOB SUMMARY: Performs and documents pre-certification from insurance companies for all elective surgeries and visits, with minimal guidance. KEY RESPONSIBILITIES: Obtains certification from insurance companies for all elective out-patient specialty surgeries for both the surgeon and the facility. Contacts insurance review agencies to request authorization. Handles problematic certification cases with relevant internal groups. Performs investigative and follow-up work on cases with pre-certification issues until the issue is resolved. Documents certification process in the appropriate applications to facilitate accurate concurrent review, billing and reimbu
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