- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8268 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST (UT Health RGV Cancer and Surgery Center-Rehabilitation ... 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
- 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
- Trinity Health (Grand Rapids, MI)
- …testing in timely fashion with proper documentation. + Works denied claims for missing prior authorization or referral within the EMR system. + Confirms ... a medical office required. + Extensive knowledge of the insurance market & prior authorization requirements. + Billing and coding knowledge and experience… more
- UPMC (Lancaster, PA)
- …3 specialties and multiple geographical locations. Responsibilities: + Utilizes electronic referral and authorization services as available. + Communicates with ... Health Information systems. + Knowledge of insurance companies, guidelines and requirements, authorization and referral process and websites. + Knowledge of… 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 (Allentown, 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 (Cooperstown, 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
- Veterans Affairs, Veterans Health Administration (Northport, NY)
- …health information in accordance with all laws and regulations governing authorization and disclosure of health information. Responsibilities Major duties include ... Act, and Health Insurance Portability and Accountability Act). Ensures that proper authorization exists before the release is made. Processes the request to the… more
- Sharp HealthCare (San Diego, CA)
- …guidelines to approve referral requests as outlined in the SCMG prior authorization document and desktop procedures.Research and assist in the benefit ... Microsoft Word and Excel certification preferred. **Essential Functions** + Prior Authorization Obtain necessary medical/clinical information utilizing multiple… more
- Community Health Systems (Las Cruces, NM)
- …follows up with the insurance company until there is resolution of the prior authorization request - an approval, redirection, or denial. All activity ... linked to the referral requested. + Validates continuity of care and network integrity based on service line availability for quality patient care. + Sends all… more
- TAD PGS, Inc. (Honolulu, HI)
- …Senior Systems Administrator to manage and support our VDI Thin Client network across both classified and non-classified environments. This role requires advanced ... + Minimum 4-6 years of Tier 3 System or Network Administrator experience, with a focus on supporting VDI...current DoD Top Secret clearance on day one and prior to entry on duty with the ability to… more
- Covenant Health Inc. (Knoxville, TN)
- …of Covenant Health (http://www.covenanthealth.com) , our region's top-performing healthcare network . Position Summary: The Clinical Field Staff Supervisor (CFSS) ... company success of providing by effectively facilitating the relationship between referral sources, patients, caregivers and employees. Recruiter: Sandra Simmons ||… more
- University of Virginia (Charlottesville, VA)
- …out of network ' for services. b. Informs patients about the authorization status as necessary. c. Prepares patient financial liability estimates and takes ... staff is accomplished in a timely manner to ensure accurate pre-certification/ authorization information is aligned with accurate billing of services. i.… more
- WellSpan Health (York, PA)
- …M-F: 8am-6pm sat & Sun: 9am-5pm **General Summary** Processes all information and referral calls for intake. Provides support to multiple referral sources. ... all the information for onboarding the patient is complete prior to beginning services. Assists with coordination of care...and support as appropriate at the time of initial referral contact, and assesses for appropriateness for home infusion.… more
- Atlantic Health System (Morristown, NJ)
- …available on site for hospital based procedures. + Confirms patient's insurance and obtains prior authorization or communicates prior authorization to ... Diploma or equivalent. + 1 to 3 years of prior experience. + National Certification CCMA from: NHA, AAMA,...driven by service, innovation and continuous learning. Our integrated network offers seamless access to Atlantic Health System's entire… more
- Intermountain Health (Salt Lake City, UT)
- …and benefits. Coordinates referral for patients that will go out of network . Point of contact for surgery authorization questions. Obtain proper CPT code ... signed off and sent for hospital orders. + Obtains authorization for surgeries/hospital procedures by researching coverage and obtain...procedures by researching coverage and obtain prior auth for them. Verifies eligibility… more