- University of Rochester (Rochester, NY)
- …PURPOSE Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals. +… more
- University of Rochester (Rochester, NY)
- …work, financial case management, clinical team and contracting. The Health Insurance & Auth Rep is ultimately responsible for minimizing any delays from ... + Identify and confirm uninsured and underinsured patients for appropriate referral to Medicaid Enrollment & Outreach for possible Medicaid application and… more
- Northern Light Health (Brewer, ME)
- Northern Light Health Department: Pharmacy - Refill- Auth Program Position is located: Cianchette Professional Blding Work Type: Full Time Hours Per Week: 40.00 Work ... criteria and medical need are essential. The Patient Service Representative will be working with complex scheduling, telephone, and...performance on a daily basis above peer averages. + Referral calls are made to PCP for Managed Care… more