Member Certification Specialist jobs in Youngstown, OH
Member Certification Specialist coordinates the certification and credentialing programs of a professional or membership organization. Participates in the development of standards and the creation of testing materials. Being a Member Certification Specialist maintains and monitors a test scheduling system or database. Organizes resources to implement testing schedules and sessions, including locations, testers, technology, and materials. Additionally, Member Certification Specialist assists members with information about programs and resolves any issues with the process. Interfaces with and monitors outside testing providers. May require a bachelor's degree. Typically reports to a manager. The Member Certification Specialist occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Member Certification Specialist typically requires 2-4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Member Certification Specialist jobs
Pre-Certification Specialist – Worker’s Compensation
- Southwoods Health
-
Boardman, OH
FULL_TIME
-
Pre-Certification Specialist – Worker’s Compensation
Our mission is simple: provide services unparalleled in quality and efficiency while cultivating an environment that emphasizes the individual needs of each of our patients. We understand patients have a choice when it comes to their healthcare. So we combined the most advanced technology, with comprehensive, quality care and the finest patient experience this area has to offer to make that choice easier.
Job Summary:
Request and obtain authorizations for procedures covered through Worker’s Compensation that are performed at Southwoods Health.- Respond promptly to referral source requests for information, supporting documentation, or other report needs
- Obtain accurate and detailed information to begin investigating sources for payment and gather patient information
- Obtain authorization from Worker’s Compensation payers to begin services.
- Assist in resolving insurance issues, re-authorization, and eligibility issues
- Responsible for obtaining and communicating pre-authorization as needed per MCO requirements
- Responsible for tracking, obtaining, and extending authorizations from Worker’s Compensation in a timely manner, requesting input from appropriate team members as needed
- Facilitate follow-up regarding ongoing services, eligibility, and authorization
- Communicate verification or benefit issues
- Record insurance information to maintain data and communicate insurance information to pertinent staff
- Maintain confidentiality of patient information
- Independently maintain and work from the electronic medical record and additional databases
- Obtain pre-certification number from physician’s office if applicable
- Assist in the development, organization, and maintenance of role specific documents, policies, and tools
- Follow all federal, state, and regulatory guidelines to maintain compliance
- Perform miscellaneous duties as needed and/or assigned by Clinical Pre-Certification Coordinator
Qualifications:- High school diploma or GED certificate
- Training or courses in business office activities, computer skills, and medical terminology
- Insurance Verification experience
- Minimum of 2 years’ experience pre-authorizing medical procedures and imaging exams across modality and specialty
Work Site Highlights:
Founded in 1996, Southwoods Health has grown from a physician owned Ambulatory Surgery Center with four operating rooms to a multi-service, physician owned health system. The Surgical Hospital at Southwoods is an acute care hospital renowned for providing a superior patient experience and consistently ranking at the top of national patient satisfaction and quality of care surveys. The hospital continues to expand its scope of services, which includes inpatient, outpatient and robotic-assisted surgery, as well as endoscopy services. Southwoods offers a provider network comprised of hundreds of physicians and advanced practice providers, as well as an expanding array of ancillary health services at locations across Mahoning, Trumbull and Columbiana Counties – all of which are certified to meet Southwoods’ high operational standards. #SWH2022
Full-time, Monday-Friday 8am-4:30pm.
www.southwoodshealth.com - 15 Days Ago
Team Member
- Panera Bread
-
Canfield, OH
FULL_TIME
- Panera Bread is now hiring Restaurant Team Members!At Panera, you will become part of a team where you will have the opportunity to connect with our amazing guests, impact the bakery-cafe's growing bu...
- 15 Days Ago
Team Member
- Panera Bread
-
Niles, OH
FULL_TIME
- Panera Bread is now hiring Restaurant Team Members!At Panera, you will become part of a team where you will have the opportunity to connect with our amazing guests, impact the bakery-cafe's growing bu...
- 15 Days Ago
Team Member
- Panera Bread
-
Hermitage, PA
FULL_TIME
- Panera Bread is now hiring Restaurant Team Members!At Panera, you will become part of a team where you will have the opportunity to connect with our amazing guests, impact the bakery-cafe's growing bu...
- 15 Days Ago
Team member
- Panera | NE Ohio Market
-
Hermitage, PA
FULL_TIME
- Panera Bread is now hiring Restaurant Team Members! At Panera, you will become part of a team where you will have the opportunity to connect with our amazing guests, impact the bakery-café’s growing b...
- 15 Days Ago
Team Member
- Panera Bread
-
Springfield, OH
FULL_TIME
- Panera Bread is now hiring Restaurant Team Members!At Panera, you will become part of a team where you will have the opportunity to connect with our amazing guests, impact the bakery-cafe's growing bu...
- 16 Days Ago
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0 Member Certification Specialist jobs found in Youngstown, OH area
Certified Nursing Assistant (CNA)
- IntelyCare
-
Harrisville, PA
- Make an hourly wage of up to $40 as a Certified Nursing Assistant (CNA) in Harrisville, PA (and nearby areas), while wor...
- 4/25/2024 12:00:00 AM
Certified Nursing Assistant (CNA)
- US Medical Staffing, Inc.
-
Willow Grove, PA
- US Medical has immediate needs for hard-working, reliable CNA - Certified Nursing Assistants for staffing with a local f...
- 4/24/2024 12:00:00 AM
Certified Nursing Assistant (CNA)
- IntelyCare
-
Grove City, PA
- Make as much as $40 per hour as a Certified Nursing Assistant (CNA) in and around Grove City, Pennsylvania, with the wor...
- 4/24/2024 12:00:00 AM
Certified Nursing Assistant (CNA)
- Senior Lifestyle
-
New Castle, PA
- Company Description Do you have HEART? We are looking for individuals who can embrace our mission to purposely brighten ...
- 4/24/2024 12:00:00 AM
Certified Nursing Assistant (CNA)
- IntelyCare
-
- Earn an hourly rate of up to $40 as a Certified Nursing Assistant (CNA) in Cranberry Township, PA (and the wider area), ...
- 4/24/2024 12:00:00 AM
Certified Nursing Asst ICU/CCU
- IASIS Healthcare
-
Sharon, PA
- Certified Nursing Asst ICU/CCUClick Here to Apply OnlineJob DescriptionLocation: Sharon Regional Medical CenterPosted Da...
- 4/23/2024 12:00:00 AM
Retail Sales Associate
- Certified Oil
-
Vienna, OH
- Description: Are you a high energy, outgoing person who loves to help others and work as part of a team? Are you interes...
- 4/22/2024 12:00:00 AM
Certified Occupational Therapy Assistant
- Blue Sky
-
Warren, OH
- Overview: Must be a licensed and or a registered therapist to be considered. ** EXCLUSIVE NEW JOB OPPORTUNITY!!** ***Hig...
- 2/21/2024 12:00:00 AM
About Youngstown, Ohio
Youngstown is a city in and the county seat of Mahoning County in the U.S. state of Ohio, with small portions extending into Trumbull County. According to the 2010 Census, Youngstown had a city proper population of 66,982, while the Youngstown-Warren-Boardman, OH-PA Metropolitan Statistical Area it anchors contained 565,773 people in Mahoning and Trumbull counties in Ohio, and Mercer County in Pennsylvania.
Youngstown is located on the Mahoning River, approximately 65 miles (105 km) southeast of Cleveland and 61 miles (100 km) northwest of Pittsburgh. Despite having its own media market, Young...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Certification Specialist jobs
$65,795 to $101,874
Youngstown, Ohio area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does a Member Certification Specialist do?
Member Certification Specialist in Ann Arbor, MI
The Workers’ Compensation Section of the Connecticut Bar Association has created the Workers’ Compensation Certification Program to help the public to identify attorneys who are competent, experienced, and skilled in the area of workers’ compensation law and to raise the level of practice in this area of the law.
December 16, 2019
Member Certification Specialist in Jackson, MS
Attorneys who have attained the designation "Board Certified Workers’ Compensation Specialist" have satisfied the following requirements.
February 20, 2020
Member Certification Specialist in Harlingen, TX
This statewide certification requires completion of four three-hour leasing education courses.
January 19, 2020