• Referral and Medical Auth

    OhioHealth (Dublin, OH)
    …inpatient and outpatient services. 1-2 years working knowledge while obtaining referral , medical authorizations in a healthcare facility interacting regularly ... our communities. **Job Description Summary:** This position is responsible for processing referral requests for all providers practicing within the clinic module and… more
    OhioHealth (10/07/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …PURPOSE With minimal direction and considerable latitude for independent judgement, the referral coordinator is responsible for all aspects of the referrals ... nursing homes across the state of New York. The referral coordinator adheres to approved protocols for...facility when additional documentation is needed. + Sends completed referral documentation for scanning into patient's medical more
    University of Rochester (09/16/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …reconcile any discrepancies and/or answer any questions. Escalates case management when medical assessment is needed. Prioritizes referral requests using ... PURPOSE Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families,… more
    University of Rochester (08/07/25)
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  • UM Service Coordinator - Hybrid - $22/hr

    Fallon Health (Worcester, MA)
    …assist in processing authorization information in order to facilitate the member's medical services or the providers' claims. Interprets and triages information to ... Specialists. + Handles an appropriately high volume of daily auth entries into the core system (QNXT). This volume...focus toward excellent customer service. In addition, the Service Coordinator will attain the targets for a customer service… more
    Fallon Health (10/02/25)
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