- OrthoIndy Hospital Northwest (Lafayette, IN)
- …carriers, and service departments. This position ensures insurance entry, verification, network benefits and eligibility, physician referral and clinical ... information, insurance, identification, meaningful use, employment, primary care provider, referral source, health history, and consent to treat. Notifies patient… more
- Commonspirit Health (Silverdale, WA)
- …in/out. Handles and reconciles payments. Continually monitor and reconcile issues prior to patient visit. Processes referral orders and/or pre-authorizations. ... disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across… more
- Philadelphia Hand to Shoulder Center (Glen Mills, PA)
- …and patient paperwork). Schedules follow-up appointments and notifies patient if service requires an authorization or referral , and sends the request to PCP in a ... Notifies patients, designated family member(s), physicians, and/or supervisors of network insurance coverage issues that may result in coverage reduction.… more
- Platinum Dermatology Partners LLC (Dallas, TX)
- …it in EMA. Identifies payer sources, verifies insurance eligibility, and verifies prior authorization . Recording and collecting patient copays and/or balances at ... Full Time Description Who We Are: Platinum Dermatology Partners is a network of high-quality dermatology clinics that focus on collaborative and innovative ideas… more
- Valley Health (Winchester, VA)
- …referrals same day. Process routine referral requests within 72 hours. Obtains prior approval or prior authorization as needed. Communicates referral ... of contact for patients within the Valley Health physicians' network . This is a key role in the patient...ensure full and timely revenue capture. Appointment Scheduling and Referral Functions Listens to patients requests for an appointment… more
- CLS Health (Cypress, TX)
- …obtain Pre- Authorization /Determination for medications. Ensures that physician is in- network and authorized/up-to-date referral is in the patient's chart. ... patients for upcoming appointments after the physician sees the patient. Obtains authorization prior to sending any orders when needed. Main fax line- Distribute… more
- Central Health (Austin, TX)
- …of utilization review cases. Complies with the established timeliness standards for referral and prior authorization procedures. Perform medical and ... Collaborate with appropriate internal stakeholders, develop, implement, and maintain the prior authorization process for Central Health. Document the process… more
- Syneos Health Careers (Tacoma, WA)
- …Healthcare Information (PHI) to support the benefits investigation and prior authorization processes for neuroscience products and administration/observation ... existing understanding of the local healthcare environment (hospitals, systems, referral patterns) Ability to utilize customer relationships and develop traditional… more
- Qualderm (Wilson, NC)
- …eligibility, financial status, and assigns the correct payor type. Verifies if prior authorization from insurance is required; notifies Billing Department if ... Partners is the largest multi-state female-founded and owned dermatology network in the US At QualDerm, we are united...is not in the system. Prepares necessary patient paperwork prior to the patient's appointment. Calls "No Show" appointments… more
- Baylor Scott & White Healthcare (Round Rock, TX)
- …with contacting physician office and patient in order to ensure pre- authorization and referral requirements are met prior to the date of service. Reviews and ... policies (financial assistance, limited plan, point of service, out of network , etc.) Obtains and screens guarantor financial information for financial assistance… more
- MUSC Health & Medical University of SC (Elgin, SC)
- …of South Carolina that provides healthcare to patients within the rural health network throughout the state of South Carolina. The Registered Nurse role provides ... South Carolina Board of Nursing. Requires certification in Basic Life Support prior to the completion of general orientation. Pediatric Advance Life Support (PALS)… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- Position Information Posting NumberSRGV8412 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST Number of Vacancies1 LocationEdinburg, Texas ... processing all prior authorizations and referrals and entering the completed referral into the electronic medical record system for claims adjudication to ensure… more
- St. Luke's University Health Network (Tamaqua, PA)
- …Acquire and submit all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion + Obtains knowledge of any ... we serve, regardless of a patient's ability to pay for health care. The Referral Coordinator is a liaison between the providers and the patients. They are… more
- Cardinal Health (Nashville, TN)
- …authorization requirements + Ensures compendia compliance and obtains all required authorization and referral information for patients' treatments. + Receives ... and ends when the patient's account balance is zero. Benefits and Authorization Coordinator This position is responsible for reviewing the physician's daily schedule… more
- Guthrie (Vestal, NY)
- …and within required timeframes and assuring referrals are maintained within appropriate network and/or payer requirement. Remains current on referral policies ... requested that are not authorized by insurance. Education: High school diploma and prior experience with insurance authorization The pay range for this position… more
- Mayo Clinic (Rochester, MN)
- …Representative is an intermediate level position that is responsible for resolving referral , precertification, and/or prior authorization to support ... Patient Access department. This may include processing of pre-certification and prior authorization for workers compensation/third party liability (WC/TPL),… more
- Bassett Healthcare (Hamilton, NY)
- … appointment instructions to the patient Communicates with clinicians to bring referral /insurance/ prior authorization updates Acts as a liaison with ... network insurance deductibles and "co-insurance." Acquires medical necessity documentation Obtains prior approval or prior authorization as required by… more
- Eastern Connecticut Health Network (Manchester, CT)
- …for patient movement across the system. Assists with verification of benefits, and prior authorization for services to ensure payment with perspective insurance ... behavioral health from surrounding hospitals. + Perform insurance benefit verifications and prior authorization for admission. + Ensure all medical admission… more
- Cambridge International Systems Inc (Doral, FL)
- …International Systems, Inc. has a full-time Department of Defense Information Network (DoDIN) Operations Lead opportunity available based in Doral, FL. Qualified ... Command has an exciting, challenging opportunity for someone versed in DoD network infrastructure and architecture. Person hired for our Department of Defense… more
- St. Luke's University Health Network (Easton, PA)
- …needs change, the services may be performed at any level within the Network 's continuum of services and/or sites. JOB DUTIES AND RESPONSIBILITIES: + Demonstrates ... care. + Arranges for community services (including short and long-term placement) prior to discharge to meet patient's needs with recognition and documentation of… more
