- Optum (Milford, MA)
- …co-insurance, and identifying scheduling procedures impacted by insurance like prior authorization and referral coordination. Able to educate patients on ... us to start Caring. Connecting. Growing together. Optum is seeking a Support Specialist to join our growing team. At Optum, we are transforming healthcare nationally… more
- Prisma Health (Columbia, SC)
- …provide our patients a seamless entry in to the Prisma Health experience. The Referral Specialist interfaces with patients and physician office team members to ... accurately authorize various consultations, procedures and tests. The Referral Specialist utilizes each patient's preferred method of contact. The Referral … more
- Trinity Health (Chelsea, MI)
- …and financial assistance. Secures and documents payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for ... as appropriate. Under limited supervision; determines need for and obtains authorization for treatment /procedures and assignment of benefits required. Provides… more
- AdaptHealth LLC (Baton Rouge, LA)
- …verification to determine patient's eligibility, coverage, co-insurances, and deductibles Obtain pre - authorization if required by an insurance carrier and ... click to apply, we would love to hear from you. Customer Service Specialist Customer Service Specialists are responsible for learning and understanding the entire… more
- Tempus (Plymouth, MA)
- …The Vocational Counselor will be responsible for teaching high school students pre -employment skills (one-on-one and in a classroom type setting) and to ultimately ... to a 60 mile radius. Essential Functions Supporting youth through the Pre -Employment Transition Services through Workforce Innovation & Act Opportunity Teach and run… more
- Jobs for Humanity (Englewood, CO)
- …through fertility and family building benefits with Progyny and adoption assistance. - Referral services for child, elder and pet care, home and auto repair, event ... oversee care coordination for patients in the Structural Heart Program both pre and post procedure, inpatient and coordinate the outpatient clinic. Prioritizing the… more
- Regal Medical Group, Inc. (Northridge, CA)
- … specialist or provider group to review best practices, authorization requests and denials, utilization metrics and outcomes. Participate/organize/chair UM team ... is responsible for actively participating and guiding in the review process of pre -service requests for services, and to follow guidelines in the approval of those… more
- Rush University Medical Center (Chicago, IL)
- …ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may be responsible for pre -appointment registration and ... origin, disability, veteran status, and other legally protected characteristics. **Position** Pre - Authorization Specialist 1 **Location** US:IL:Chicago **Req… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Radiation Oncology Authorization and Referral Specialist is responsible for managing the Radiation Oncology (RO) Epic Work Queue (WQ), which ... pre -certifications promptly, and ensuring timely scheduling of services. The RO Authorization and Referral Specialist must maintain expert-level of… more
- Baptist Memorial (Memphis, TN)
- …* Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Revenue ... Overview SPECIALIST - AUTHORIZATION DENIAL - HS REVENUE ENHANCEMENT-ONCOLOGY CORPORATE (JOB ID: 15486) Summary Authorization Denial Specialist ensures that… more
- Elevance Health (Irving, TX)
- …therapies through our specialty pharmacies, our infusion centers, and the home setting._ ** Referral Specialist II/Patient Access ( Pre & Prior Authorizations, ... for roughly the first five (5) weeks/30 days at the Plano, TX office. The ** Referral Specialist II** is responsible for providing support to a clinical team in… more
- Granville Medical Center (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/ Referral Coordinators at our referring practice locations to ensure that pre ... on a daily basis. * Utilize insurance company websites to obtain pre -authorizations in the most efficient manner. * Maintain accurate pricing, separately identifying… more
- Granville Health System (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/ Referral Coordinators at our referring practice locations to ensure that pre ... on a daily basis. # Utilize insurance company websites to obtain pre -authorizations in the most efficient manner. # Maintain accurate pricing, #separately… more
- UPMC (Hanover, PA)
- …for authorization , if applicable. + Sends appointment request to specialist with appropriate patient records. Processes insurance referral if applicable. ... Life Changers! UPMC is hiring a Full-Time, Central Insurance Referral Specialist II to support the office...other duties as assigned by manager. + Utilizes electronic referral and authorization services as available. +… more
- Northwest Florida Community Hospital (Chipley, FL)
- Referral and Authorization Specialist + Receives referral requests from providers and Health Plans representatives. Assist in processing medical services ... process. Including recording the required information from attachments into the authorization fields. + Appropriately forwards all referral requests to the… more
- Elevance Health (Chicago, IL)
- **Appeals Referral Specialist ** **Location :** **Hybrid** - This role requires associates to be in-office **3 days per week** , fostering collaboration and ... Friday 10:30 am - 7:00 pm CST The **Appeals Referral Specialist ** is responsible for providing support...an impact:** + Initiates and manages clinical referrals for pre - authorization . + Acts as a liaison between… more
- Mayo Clinic (Rochester, MN)
- …in the F-1 STEM OPT extension program.** **Qualifications** **Qualifications for Laboratory Referral Specialist I: You must have a high school diploma/GED ... coverage. + Vision: Affordable plan with national network. + Pre -Tax Savings: HSA and FSAs for eligible expenses. +...3 years of relevant work experience.** **Qualifications for Laboratory Referral Specialist II: You must have a… more
- Elevance Health (Columbus, OH)
- ** Referral Specialist I** $1,000 Sign-On Bonus **Location :** This role enables associates to work virtually full-time, with the exception of required in-person ... clinical domains, including radiology, cardiology and oncology. As a ** Referral Specialist I** , you will be...staff as appropriate. + Verifies insurance coverage and completes pre - authorization process for radiology and other imaging… more
- Trinity Health (Ann Arbor, MI)
- …and financial assistance. Secures and documents payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for ... and financial assistance. Secures and documents payment arrangements. + Obtains medical authorization or referral forms, if appropriate. Audit authorizations for… more
- Community Health Systems (Las Cruces, NM)
- …appointment information (date, time, directions, etc.), and contact information of the referral provider. + Provides and/or obtains required authorization for ... authorization request - an approval, redirection, or denial. All activity including pre -cert number is recorded in the " Authorization Workflow" within Athena… more
