- St. Luke's University Health Network (Bethlehem, PA)
- …regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of ... prior -authorizations and referral process for patients being referred for specialty care,...scheduling, and referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding… more
- CVS Health (Austin, TX)
- …to work in a fast paced environment Preferred Qualifications + Previous prior authorization experience Education Associates degree required BSN preferred Pay ... Summary Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines for services requiring precertification. The majority of the… more
- Baystate Health (Springfield, MA)
- **Summary:** The Referral Authorization Coordinator is responsible for providing a variety of support services that are essential to the efficient operation of ... Meets expectations for less than one week turnaround for majority of prior authorization approvals. **Job Responsibilities:** **1)** Instructs and provides… more
- University of Rochester (Rochester, NY)
- …requested. + Collaborates with other Referral and Prior Authorization Representatives across programs to establish best practice standards. Disseminates ... GENERAL PURPOSE: Oversees and provides direction to team of Referral Prior Authorization Representatives. Provides direction and supervision to adhere to… more
- University of Rochester (Rochester, NY)
- … authorizations. + Provides monthly referral and prior authorization reports to Administrators and Pediatric Practice Leadership team + Participates ... all renewals/approvals are obtained + Primary contact for Pediatric Practice referral functions and triages calls as...so that patients are always cleared for their appointment prior to their arrival. + Develops Pediatric Practice… more
- University of Rochester (Rochester, NY)
- Responsibilities **Summary:** Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and Specialists. Trains new ... Assists in problem identification, quantification and resolution. + Provides training to Prior Authorization and Referral Coordinator Associates and… more
- Catholic Health Services (Melville, NY)
- …Catholic Health was named Long Island's Top Workplace! Job Details The Central Referral Authorization Coordinator duties: Working with the EMR, this position ... maintains strict confidentiality. Responsibilities: Verifies insurance coverage and obtains prior authorization as needed. Demonstrates excellent customer… more
- System One (Tulsa, OK)
- System One is searching for an Authorization Representative with experience in radiology authorizations for a mid-sized specialty clinic in Tulsa, OK. In this role, ... preauthorization as required by insurance and enters in the practice management system as needed for flow to billing...to billing in addition to scanning hard copy of referral into chart. + Ensures appropriate signatures are obtained… more
- LifePoint Health (Hickory, NC)
- …as needed via EHR or from clinical team to accurately complete pre- authorization / referral process. * Answers, responds and documents phone calls, requests ... Degree Preferred **Job:** **Other* **Organization:** **Frye Regional Physicians* **Title:** * Referral Coordinator-Physician Practice PRN* **Location:** *NC-Hickory* **Requisition… more
- University of Massachusetts Amherst (Amherst, MA)
- …care provider and sends pertinent notes to obtain authorization , and once authorization is received, enters it into the practice manager for accurate ... Diploma and at least three (3) years' medical office experience. + Prior experience with insurance verification, authorization , and predetermination. + Good… more
- Northern Light Health (Presque Isle, ME)
- …complete. 8. Maintains current knowledge of various insurance processes necessary to obtain prior authorization ; follows Prior Authorization Policy. 9. ... Northern Light AR Gould Department: Physician Practice Central Ops Position is located:Northern Light AR...services needed are received timely. They assist with insurance prior authorizations. The role of the referral … more
- Banner Health (Phoenix, AZ)
- …line for patients from birth and beyond in Pediatrics, Internal Medicine and Family Practice . As a ** Referral Specialist,** you'll work collectively with our ... perform a critical role in the community where you practice . Banner Medical Group provides both primary and specialty...provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior … more
- MD Anderson Cancer Center (Houston, TX)
- … prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population. ... for Physician Assistants who graduated from a PA program prior to 2013. Required: Master's Degree in Nursing or...or PNP or PMHNP or WHNP or APNP). Related authorization must be consistent with clinical practice … more
- Lancaster General Health (Lancaster, PA)
- …and Referrals. Must be knowledgeable in all areas of insurance verification and authorization / referral processes. + Maintain accurate and current referral ... to patient what their insurance company requires to meet referral / authorization compliance. + Must have the ability...to patients who have not been seen within the prior 18 months at their LGHP PCP office and… more
- Banner Health (Mesa, AZ)
- …. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being ... Mesa AZ 85209 Looking for a candidate that has referral experience Must be a team player Change Champion...Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior to… more
- Northern Light Health (Portland, ME)
- …Office Patient Service representatives to verify benefits and to obtain required prior authorization (s). + Identify potential barriers to care and collaborates ... for receiving and processing incoming referrals from patients, families, and referral sources for all newly diagnosed oncology, benign hematology and infusion… more
- Community Medical and Dental Care Inc (Monsey, NY)
- … needs. + Contact insurance companies to ensure verification of benefits and prior authorization approval requirements are met. + Review details and expectation ... CMADC is seeking an enthusiastic and organized individual to join our team as a Referral Coordinator. The referral coordinator will p erform a wide range of… more
- Dignity Health (Phoenix, AZ)
- …are proud to announce that we are a tobacco-free campus **Responsibilities** The Referral and Authorization Specialist is responsible for ensuring patients have ... **PREFERRED** + Bi-lingual English / Spanish + Familiarity with the referral / authorization process and interacting with insurance carriers **Dignity Health… more
- MD Anderson Cancer Center (TX)
- … prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population. ... for Physician Assistants who graduated from a PA program prior to 2013. **APRN Required Education** : Master's Degree...or PNP or PMHNP or WHNP or APNP). Related authorization must be consistent with clinical practice … more
- MD Anderson Cancer Center (Houston, TX)
- … prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population. ... for Physician Assistants who graduated from a PA program prior to 2013. Required: Master's Degree in Nursing or...or PNP or PMHNP or WHNP or APNP). Related authorization must be consistent with clinical practice … more