- Intermountain Healthcare (Cedar City, UT)
- …surgery authorization questions. Obtain proper CPT code from provider for authorization . Proposes iCentra requirements to create a pre -surgical FIN# and to ... orders are proposed, signed off and sent for hospital orders. Meets with pre -op patients to explain the surgery process. Scope Creates and manages provider's… more
- Monument Health (Rapid City, SD)
- …financial clearance needs on behalf of the patient. Review and understand authorization and referral records to confirm financial clearance. Educates patient ... you will do each day. As a Patient Access Specialist I at Monument Health, you can begin your...to service area. Perform patient scheduling and check-out, including pre -arrival management for upcoming services per protocols within the… more
- AdaptHealth LLC (Des Moines, IA)
- …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
- 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 manual verification of insurance… 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
- Inova (Fairfax, VA)
- …appropriate communication methods and style; Identifies and communicates payroll authorization and referral requirements. Minimum Qualifications: Education: High ... Job Description Inova Clinic and Schar Center is looking for a dedicated Oncology Patient Specialist 3 to join the team. This role will be full-time day shift from… 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 manual verification of insurance… 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 ... 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
- Tri-State Memorial Hospital (Clarkston, WA)
- …Referral Coordinator will review incoming referrals with specific insurance types to assure authorization to see specialist has been put in place by referring ... Job Summary: The Referral Coordinator is responsible for ensuring that incoming...year experience in a medical office or hospital performing pre - authorization functions or medical insurance billing. CPT/ICD… 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....Section 5), covered TRICARE benefit and required tests and pre -work. Coordinate with referring providers in cases where additional… 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
- 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
- UPMC (Pittsburgh, PA)
- …being rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in ... of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's… more
- WesleyLife (Urbandale, IA)
- …and Medicare/Medicaid. + Maintains written and verbal communication regarding authorization , re- authorization , and retro- authorization of visits. ... + Ensures that cases are effectively managed according to utilization and authorization , as defined by payer. This includes documentation and ongoing maintenance of… 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
