- Upstate University Hospital (Syracuse, NY)
- …requested. Serves as a resource for providers and staff relative to the referral and authorization processes. Assist with patient check-in and check-out ... Job Summary: The Outpatient Administrative Specialist will provide clinical administrative support to the...generates routine forms and other documentation. Manage the EPIC Referral WQs. Answers phone, prioritizes incoming mail, faxes and… more
- Intermountain Healthcare (Cedar City, UT)
- …orders are proposed, signed off and sent for hospital orders. Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior ... auth for them. Verifies eligibility and benefits. Coordinates referral for patients that will go out of network....go out of network. Point of contact for surgery authorization questions. Obtain proper CPT code from provider for… more
- Pennsylvania Medicine (Elizabethtown, PA)
- …Verifies patient, guarantor, coverage and hospital account information. Performs required referral authorization processes and enters orders for applicable ... tests. Understands insurance company coverage and referral authorization requirements of payors. Performs electronic and manual verification of insurance… more
- Pennsylvania Medicine (Lancaster, PA)
- …Verifies patient, guarantor, coverage and hospital account information. Performs required referral authorization processes and enters orders for applicable ... tests. Understands insurance company coverage and referral authorization requirements of payors. Performs electronic...and order release process es . One 1 year prior experience of Revenue Cycle in a Hospital Medical… more
- Pennsylvania Medicine (Lancaster, PA)
- …patient, guarantor, coverage and hospital account information. Performs required referral / authorization processes and enters orders for applicable tests. ... Understands insurance company coverage and referral / authorization requirements of payors. Performs electronic and manual verification of insurance coverage and… more
- HCA Healthcare (Tampa, FL)
- …department to qualify patients for current or continued care needs, obtaining pre-admission authorization prior to admission. Requirements: Must be licensed as a ... have the career opportunities as a RN Psych Intake Specialist you want in your current role? We invest...the determination whether a patient meet admission criteria or referral to community resource is required, working with Physician… more
- Friend Health (Chicago, IL)
- …determined not needing hospitalization and notifies the appropriate persons or referral source of disposition; Completes required documentation. Job Duties: Ensures ... to onsite within 90 minutes. Completely documents the evaluation prior to departure from the ED 100% of the...services. Ensures firm linkage of the individual with the authorization level of care. Ensures documentation of the evaluation,… more
- Native American Connections (Phoenix, AZ)
- …care, both behavioral health and medical. Ensures that pending intake and prior authorization gaps are addressed to increase service outcomes. RESPONSIBILITIES ... in EHR promptly and accurately. Contact outside agencies when needed for referral information and/or other assistance for clients. Greets and refers the public… more
- Reef Systems (Montgomery, AL)
- …information to the specialist . Contact and inform patients in the event referral requests are invalid (eg, non- covered benefits) or disapproved by MTFs second ... the Air Force medical Service (AFMS) mission at the Referral Management Center (RMC) located at Maxwell AFB, AL....MTF PRP monitor). Verify appropriate paperwork is on file prior to authorization . Customer Service Function :… more
- University of Iowa Hospitals & Clinics (Iowa City, IA)
- …support the clinic in providing phone triage support, laboratory support, helping with prior authorizations, as well as assist with nurse visits. Our Family Medicine ... our family medicine provider connects our patients with the UI Health Care specialist needed. UI Health Care specialists will consult the same medical record used… more
- Saratoga Hospital (Saratoga Springs, NY)
- Summary of Position: The Referral and Prior Authorization Specialist is responsible for obtaining referrals and authorizations to ensure reimbursement ... gathering and patient data. Meets turnaround expectations for majority of prior authorization approvals. Primary Job Responsibilities: Processes all referrals… 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
- Prime Healthcare (Park Ridge, IL)
- … prior authorizations or medical records and completes insurance prior authorization . The Referral specialist should demonstrate adequate knowledge of ... authorizations or medical records and completes insurance prior authorization . The Referral specialist should demonstrate adequate knowledge of the usual… more
- Glens Falls Hospital (Saratoga Springs, NY)
- …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist * **Location:** *NY-Saratoga Springs*… more
- Glens Falls Hospital (Glens Falls, NY)
- …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... at least 30 hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist - Cancer Center - Medical… more
- Polaris Pharmacy Services of Minnesota, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $21.00 - $22.00 Job Category Pharmaceutical ... advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible...reviews and merit-based raises + Career growth potential + Annual on-site voluntary Flu Vaccines + Employee referral bonus… more
- Rush University Medical Center (Chicago, IL)
- …Authorization Specialist I is responsible for obtaining and resolving referral , precertification, and/or prior authorization to support insurance ... outpatient), ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may...that is required for the payer to issue a referral or an authorization . Per referral… more
- University of Michigan (Ann Arbor, MI)
- …ensure payor requirements are met and authorizations are obtained timely and appropriately prior to service. The Authorization Specialist will provide ... Outpatient Authorization Specialist Apply Now **Job Summary**...communication protocols. + Prioritize and procure all required authorizations prior to service reducing appointment cancelations and reschedules due… more
- UPMC (Pittsburgh, PA)
- …of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's ... expertise, research initiatives, and strong administrative support. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
- Elevance Health (Irving, TX)
- …specialty pharmacies, our infusion centers, and the home setting._ ** Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals, Insurance) - ... (5) weeks/30 days at the Plano, TX office. The ** Referral Specialist II** is responsible for providing...additional information if necessary. + Ability to initiate pre-determination, prior authorizations, and appeals for denials based on payer… more
