- St. Luke's University Health Network (Allentown, 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
- 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
- Trinity Health (North Muskegon, 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
- Banner Health (Surprise, AZ)
- …. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being ... ready to help keep patients moving forward. As a ** Referral Specialist** on our team, we offer a customer-focused...Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior to… 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:North Street Healthcare...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
- 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
- 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
- MD Anderson Cancer Center (Houston, TX)
- …Texas Board of Nursing authorization must be consistent with clinical practice area and patient population. **EXPERIENCE** Preferred: Prior experience as ... Advanced Practice Registered Nurse. Preferred: Prior experience in Oncology experience. **LICENSURE / CERTIFICATION** Required:...or PNP or PMHNP or WHNP or APNP). Related authorization must be consistent with clinical practice … 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
- TEKsystems (Sacramento, CA)
- Description: Essential Functions: ▪ Receives referral requests from providers and communicates with them, or a member of the patient's care team, as needed ▪ Obtains ... prior authorizations for patient referrals to specialists and surgeries....patient referrals to specialists and surgeries. Advises provider if authorization request is denied. ▪ Communicates with different insurance… 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
- 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. **APRN Required Education** : Master's Degree...or PNP or PMHNP or WHNP or APNP). Related authorization must be consistent with clinical practice … more
- Intermountain Health (Wheat Ridge, CO)
- **Job Description:** The Referral Specialist is responsible to execute patient referrals as indicated by physicians, seek authorization as required by individual ... insurances and notify patients. + Obtains referral request from physician. + Ensures patients have been cleared for specialty service office visits. Resolves pre-… more
- University of Virginia (Charlottesville, VA)
- …Division of Radiation Oncology to include; compliance and charge capture, referral /medical necessity, denial management/data collection and follow up, and project ... of carrier contracts/changes and departmental policies and procedures. + Complete referral forms appropriately + Enter necessary referral information into… more
- St. Peters Health (Helena, MT)
- …and workflows that produce reliable outcomes for patients, providers, care teams, prior authorization partners, coders, and billers. Scheduling the right ... JOB SUMMARY: The Practice Manager for Access and Experience is a...the right time, and having the pertinent registration, insurance, prior authorization , medical records, and pre-visit documentation… more