- Reef Systems (Charleston, SC)
- …MTF or ODCS referral appointments within ATC standards, the RMC shall defer the referral to the network through the MCSC. The RMC shall transmit the ... within one (1) business day of receipt. *Return completed referrals submitted by network /VA provider's specialty care referral results (ROFR results) to the… more
- Premier Orthopaedics (Paoli, 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
- Premier Orthopaedics (Wayne, 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 ... work hours. Excellent opportunities for growth and advancement. Employee referral reward program. ESSENTIAL FUNCTIONS Promptly greets and acknowledges patients.… more
- Sage Health (Baltimore, MD)
- …Process a minimum of twenty referral orders per day. Process all referral authorization per the health plans protocol and systems ie, Availity Coordinates ... referral authorizations Experience with Availity or other referral authorization platforms Experienced working in medically...YES 75-100% Reports To: Center Manager Dotted Line To: Network Manager The pay range for this role is:… 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
- VieMed (Lafayette, LA)
- …benefits, with the ability to understand and provide insurance breakdowns Obtains prior authorization if required by payer(s) Interacts professionally with ... or physician's office staff, per policy and procedure Retrieves incoming referral (s) and logs demographic information into current patient database & billing… more
- Boson Health (Houston, TX)
- …the referral required for their plan. Notifies provider when no provider in network is available Obtain prior authorization for clinics throughout the ... excellent attention to detail and knowledge of insurance verification and authorization /referrals. Experience with ASC Facility and procedures is preferred. We are… more
- Battle Creek VA Medical Center (Battle Creek, MI)
- …responsible for preparing outpatient authorizations for Community Care in Health Share Referral Manager (HSRM). The LPN contacts Veterans to determine preference of ... by the Community Care Leadership Team. He/She participates in facility and network initiatives for growth, improved access, quality patient care, and exceptional… 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 ... require a valid driver's license. Requires certification in Basic Life Support prior to the completion of general orientation. Additional Job Description Benefits:… 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
- 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
- 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
- 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
- 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
- Bassett Healthcare (Cooperstown, NY)
- …is a go to person for coworkers. Obtains prior approval or prior authorization as needed. Communicates referral appointment and appointment instructions ... point of contact for patients within the Bassett Healthcare Network . This is a key role in the patient...meet Medicare regulations. Obtains prior approval or prior authorization as needed. Communicates referral… more
- Bassett Healthcare (Oneonta, NY)
- …Attends Patient Access Review Sessions (PARS) Obtains prior approval or prior authorization as needed. Communicates referral appointment and appointment ... point of contact for patients within the Bassett Healthcare Network . This is a key role in the patient...urgent referrals same day. Processes electronic or written routine referral requests within 24-72 hours In regards to referrals,… more
