- University of Rochester (Rochester, NY)
- …patient arrival + Responds in a timely manner to all eRecord messages with prior authorization status, when appropriate. Updates the requesting office of the ... denials into the patient chart. + Assists in cross-coverage of the Medication Prior Authorization Department when necessary. Must be HIPAA compliant. Other… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: Oversees and provides direction to team of Referral Prior Authorization Representatives. Provides direction and supervision to adhere to ... enterprise standards of referral and prior authorization guidelines. Accountable for planning, execution,...Other duties as assigned **QUALIFICATIONS:** + High School diploma, Associate Degree in Medical or Secretarial or related field… more
- Medtronic (New York, NY)
- **CAREERS THAT CHANGE LIVES** The Associate Sales Representative (ASR) will partner with the field sales and clinical teams and act as a resource in markets to ... HAVE** + 1-3 years previous field sales experience + Prior medical device, business to business or pharmaceutical sales...within the Responsibilities section of this job description are representative of those that must be met by an… more
- Arizona Public Service (Phoenix, AZ)
- …for Tomorrow, Empower Each Other and Succeed Together. Summary The Customer Project Associate or Representative assists or leads in the coordination and ... Customer Project Trainee or Customer Project Rep Apply now " Date: May 16, 2024...projects (moderately complex customer projects for the Customer Project Representative level). Will coordinate activity among numerous functional areas… more
- Carle (Urbana, IL)
- Business Service Rep - Evening Shift + Department: Registration Center - CFH_10_20 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + Employment ... appropriate reimbursement for both the patient and the hospital. Performs prior authorizations for patients admission/surgeries to ensure reimbursement for services… more
- University of Rochester (Rochester, NY)
- …but is not limited to demographic, co-pay/deductibles, benefit information, referrals/ authorization , PCP information and Self Pay recovery. Responsible for ... contacting patient/ representative regarding registration, insurance coverage or lack of to...**_Weight_** **_=45%_** Responsible for pre-verification of insurance five days prior to sched appointments, real time verification (urgent care,… more
- Dignity Health (Oxnard, CA)
- …+ Familiarity with third party administrator operations such as eligibility, prior authorization , claims administration and provider network administration. ... that put patient care first. **Responsibilities** As a Provider Relations Representative with the Dignity Health Management Services Organization (DHMSO), now part… more
- Ascension Health (Indianapolis, IN)
- …to ensure prompt payment. + Confirm insurance coverage. Determine necessity for pre- authorization and obtain authorization for scheduled procedures. + Determine ... or experience, if applicable. **Additional Preferences** Primary responsibilities will be prior auths and recerts for cardiology testing and scheduling of the… more
- Corewell Health (Stevensville, MI)
- …reconciles multi-department deposit. + Obtains insurance authorizations and/or verifies that prior authorization has been obtained; assists with retroactive ... maintenance gaps. + Ability to perform the role of Patient Services Representative , Associate when necessary. + Actively participates in safety initiatives… more
- Crouse Hospital (Syracuse, NY)
- The Patient Access/ Registration Representative ensures that all required patient demographic and insurance data is collected for treatment of care. Responsible for ... of all insurance payors and ensures all pre-certification and authorization requirements are completed with the highest level of...family members on the meaning of all forms required prior to obtaining hospital treatment to ensure full completion… more
- University of Rochester (Rochester, NY)
- …to ensure program compliance. **Responsibilities:** **Scheduling, Patient Management and Prior Authorizations (55%)** + Manage the conversion of pre-transplant ... multiple areas of the electronic medical record. Decides based on previous authorization approvals and denial experience, the relevant information to be included in… more
- University of Rochester (Rochester, NY)
- …is scheduled as organ acquisition billing or billed to insurance. Obtain prior authorization if needed. Testing and multidisciplinary appointments are scheduled ... experience + Or equivalent combination of education and experience required + Associate 's degree in Medical, Secretarial or related field preferred. + Demonstrated… more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Scientific Associate Director, DMPK Project Representative ** Challenging. Meaningful. ... plays a critical role in IND submissions and marketing authorization applications. We utilize our deep expertise in ADME...across the globe. PCO is looking for a Scientific Associate Director to join the Dev DMPK group that… more
- Corewell Health (Southfield, MI)
- …+ Perform all Financial Clearance duties to ensure the account is financially cleared prior to service. The Financial Clearance Rep is responsible for gathering ... Under the direction of the Director, of Financial Clearance, the Financial Clearance Rep is responsible for ensuring accounts are financially cleared prior to… more
- Tidelands Health (Pawleys Island, SC)
- …responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete pre-registration of all scheduled ... Five (5) year of experience in Healthcare Revenue Cycle that includes prior authorization . **KNOWLEDGE/SKILLS/ABILITIES** : * Ability to interact successfully… more
- Pfizer (Tampa, FL)
- …that significantly improve their lives. The Pfizer Connect Health & Science Representative (PCHR) is responsible to increase product awareness, educate customers and ... QUALIFICATIONS** + Bachelor's degree with 0-3 years of relevant experience; OR an Associate 's degree with four years of relevant experience; ORSix years of relevant… more
- Carle (Urbana, IL)
- Patient Services Representative for Float Pool + Department: Float Staff - CPG + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + Employment ... Requirements: None + Other Posting Information: As a Float Patient Services Representative , you will have opportunities to grow your skills, work in different… more
- Tidelands Health (Murrells Inlet, SC)
- …multiple resources for patient services. Will also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... identifying deductibles, copayments, coinsurance, and policy limitations. Obtains referral, authorization and pre-certification information if needed; documents this information… more
- Penn Medicine (King Of Prussia, PA)
- …information to internal and external customers for admissions processing; Obtain initial prior authorization for services; obtain ongoing prior ... processes into daily practice, and consistently implementing the prescribed Authorization Tracking process for all assigned patients. Responsibilities: + Maintains… more
- Surgery Care Affiliates (Dallas, TX)
- …to other departments when necessary. + Does pre-registration and makes sure that authorization is obtained from the physician's office prior to surgery ... The Ophthalomogy Surgery Center of Dallas is currently seeking a Business Office Representative Clerk for their front office. The Business Office Representative … more