- Trinity Health (South Bend, IN)
- …Log. Communicate with physician offices and patients when insurance payer denies authorization . If patient /physician decision is to continue with service, ... time **Shift:** Day Shift **Description:** **JOB SUMMARY** Obtains accurate authorization and billing information to effectively authorize/pre-certify all patients… more
- Ardon (Portland, OR)
- As we continue to grow, we are seeking a Lead of Referral & Billing Services to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we ... experience in an elevated role. We are recruiting a Lead of Referral & Billing Services to...a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance connection.… more
- ChenMed (Lakeland, FL)
- …delivered to our members. **ESSENTIAL DUTIES AND RESPONSIBILITIES:** + Coordinates patient referrals with specialists and/or hospitals, completes referral ... Coordinator 2 is a highly visible customer service and patient -focused role. The incumbent in this role works directly...physicians, clinicians and other medical personnel to ensure the referral process runs smoothly. He/She operates in a dynamic… more
- UNC Health Care (Goldsboro, NC)
- **Description** Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining authorizations from insurance ... via websites, telephone, or the Electronic Health Record (EHR). Electronic referrals, patient accounts issues and/or questions related to billing and insurance needs… more
- Trinity Health (Grand Rapids, MI)
- …must be accurately managed or redirected as appropriate. Assembles information concerning patient 's clinical background and referral needs. Per referral ... any prep instructions via documented orders or protocol to patient . Receives and reviews referral requests; prioritizes...with proper documentation. Works denied claims for missing prior authorization or referral within the EMR system.… more
- Bassett Healthcare (Hamilton, NY)
- …instructions to the patient . Communicates with clinicians to bring referral /insurance/prior authorization updates. Acts as a liaison with external provider ... and monitor timeline for specialty care. Keep referring providers informed of patient compliance, statistics of referral patterns. Demonstrates a high level… more
- Trinity Health (Clifton Park, NY)
- …a timely manner. Calls must be accurately managed - Assembles information concerning patient 's clinical background and referral needs. Per referral ... any prep instructions via documented orders or protocol to patient . - Receives and reviews referral requests;...with Billing Analyst on denied claims for missing prior authorization or referral within the EMR system.… more
- Trinity Health (Newton, IA)
- …clinic and referral authorization department to secure a valid referral for clinic patient . + Enter referrals, documents communications and action into ... Referral Specialist works with patients requiring a referral , to ensure patient 's referral ...or physician. Role Specific Behaviors + Knowledge of clinic referral and scheduling processes and billing/ authorization requirements.… more
- Tidelands Health (Murrells Inlet, SC)
- …**Join Team Tidelands and help people live better lives through better health!** ** Patient Services Specialist/ Lead (IV)** Are you passionate about quality and ... role anticipates and acts on the needs of our customers to enhance their patient experience. Patient Services Specialist IV/ Lead is responsible for… more
- WMCHealth (Valhalla, NY)
- Lead Patient Access Liaison Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Patient ... Internal Applicant link Job Details: Job Summary: As the Lead Patient Access Liaison, you are responsible for… more
- Trinity Health (Des Moines, IA)
- …clinic and referral authorization department to secure a valid referral for clinic patient . + Enter referrals, documents communications and action into ... at MercyOne, you will work with patients requiring a referral , to ensure patient 's referral ...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Albany Medical Center (Albany, NY)
- …consents from patient proxies. * Schedule follow up appointments and referral as needed when patients check out. * Communicate professionally and timely with ... process. + Compile booking sheets, all surgical consents, pre-op orders, prior authorization and pre-admission forms. + Preparing patient disability and out… more
- Trinity Health (Des Moines, IA)
- …services, specialty care, etc. + Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for ... Referral Specialist works with patients requiring a referral , to ensure patient 's referral ...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …ROFR issues in accordance with NCR Business Rules. Reports concerns related to the ROFR referral process to team lead as needed. + Completes and returns Clear ... to TRICARE Service Center for medical necessity/appropriateness review. + Routinely monitors referral management voicemail to ensure patient calls are returned… more
- Trinity Health (Grand Rapids, MI)
- …manner. + Assembles information concerning patient 's clinical background and referral needs. + Obtains necessary authorization for referrals and diagnostic ... proper documentation. + Works denied claims for missing prior authorization or referral within the EMR system....Confirms payer is in-network with specialist. If not, contacts patient to discuss and make alternate arrangements as necessary… more
- Trinity Health (Syracuse, NY)
- …who we say we are. **ESSENTIAL DUTIES AND RESPONSIBILITIES** : + Obtain insurance authorization from patient 's insurance company. This may be done by phone, fax, ... + Verify all pertinent documentation has been provided for the type of referral requested. + Assemble information concerning patient 's clinical background and … more
- Dignity Health (Bakersfield, CA)
- …policies and procedures in reviewing and processing daily prior authorization referrals. The position also considers eligibility, benefits, medical necessity, ... and appropriate providers to decide the disposition of a referral . This position has daily/weekly contact with other UM staff; Physician Reviewers and other… more
- Illumination Foundation (Santa Ana, CA)
- …nonprofit or community health settings. + Familiarity with HIPAA compliance and referral authorization processes. + Experience with performance tracking or ... County, Los Angeles County and the Inland Empire. Job Description The Manager of Referral Coordination is responsible for the direct supervision of all Referral … more
- Penn Medicine (Plainsboro, NJ)
- …our future each day. Are you living your life's work? **Job** : Team Lead Patient Access Associate - Emergency Department **Hours** : 8am-4:30pm Monday-Friday ... but is not limited to verifying eligibility, obtaining benefits, ensuring authorization / referral requirements have been completed ie Drug screening, Global… more
- Trinity Health (Hartford, CT)
- …services which are essential to the efficient operation of the organization's referral process. Works closely with the clinical department staff as well customer ... completeness of information, urgency, and other designated criteria + Completes pre- authorization workflows as required. Contact insurance companies to ensure prior… more