- LaSante Health Center (Brooklyn, NY)
- LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have ... seamless access to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance and guiding patients through the… more
- Saratoga Hospital (Saratoga Springs, NY)
- …fast-paced healthcare environment. The Referral and Prior Authorization Specialist is responsible for obtaining referrals and authorizations to ensure ... Referral & Prior Authorization Specialist Salary...authorization approvals. What You'll Do + Processes all referrals and authorizations received. Completes prior authorizations… more
- University of Connecticut (UConn) (Storrs, CT)
- …on the Storrs campus, is seeking a Medical Referral Coordinator and Insurance Authorization Specialist to coordinate and provide assistance in carrying out the ... accurate and timely pre- authorization / authorization of insurance coverage and benefits for...position reports to the Student Health and Wellness Insurance Specialist Manager. SHaW is committed to diversity and inclusion,… more
- BJC HealthCare (St. Louis, MO)
- …- Friday 8:00-4:30 Pm + No weekends or Holidays + Prefer experience: Prior Authorization , Referrals , EPIC, Patient registration, and Insurance Verification ... About the Role** BJC is looking to hire a Authorization Specialist ! **Additional Preferred Requirements** + Remote...assists BJC hospitals enterprise wide in securing the appropriate authorization and/or Notice Of Admission (NOA) in order to… more
- Trinity Health (Syracuse, NY)
- …focuses on monitoring expirations of referrals , verifying insurance updates prior to procedure, and supporting authorization and denial processes. ... in an appropriate health care setting. Ideally, has a background in referrals , denials, and/or authorization processes. Working knowledge of ICD-9-CM, CPT… more
- Penn Medicine (Lancaster, PA)
- …hospital and outpatient hospital services. The role also handles non-clinical referrals . Responsibilities: + Coordinate pre- authorization process + Confirm the ... Financial Services personnel (PFS), and other departments across the organization to ensure authorization and/or referrals for services on file and accurate with… more
- Penn Medicine (Lancaster, PA)
- …Financial Services personnel PFS , and other departments across the organization to ensure authorization and or referrals for services on file and accurate with ... with or without reasonable accommodation to perform the following duties: Coordinate pre- authorization process + Serve as the primary SME for the Financial Clearance… more
- St. Luke's Health System (Boise, ID)
- …**What you can expect from this role:** + obtaining insurance prior authorizations for episode-based infusion treatment referrals primarily administered ... **Overview** At St. Luke's, Infusion Authorization Specialists are a pivotal role that involves...+ working proficiently in various insurance portals to submit prior authorizations, perform benefits investigations, and follow up on… more
- Whidbey General Hospital (Oak Harbor, WA)
- … and authorizations in place. + Documents contact person name, eligibility, benefits, referrals , authorization , and any other pertinent information in notes. + ... organization. The PFS Representative may be responsible for coordinating patient referrals and subsequent follow up, verifying insurance and providing financial… more
- Northern Light Health (Presque Isle, ME)
- …is complete. + Maintains current knowledge of various insurance processes necessary to obtain prior authorization ; follows Prior Authorization Policy. + ... services needed are received timely. They assist with insurance prior authorizations. The role of the referral specialist...that they need. A major role of the Referral Specialist is to communicate progress of referrals … more
- Prime Healthcare (Chicago, IL)
- …records for prior authorizations or medical records and completes insurance prior authorization . The Referral specialist should demonstrate adequate ... referral specialist makes referrals to specialist for the office practices along with prior...polite and friendly manner. Be able to maneuvers through prior authorization with insurance companies and provide… more
- Banner Health (Phoenix, AZ)
- …clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position is responsible for ... resources when needed. 3. Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior to the services… more
- Sanford Health (Fargo, ND)
- …The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc.; determines if ... insurance meets prior authorization criteria. Collects necessary documentation and...third party payers on appeal process. Assures all required referrals are in place; may work on outgoing … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …retrieval (SIR) queues throughout day for messages, potential care management referrals , authorization requests and clinical documentation + Coordinates with ... Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Operating Procedures, and Policies and Procedures, as defined by CHC Agreement ( Prior Authorization , Concurrent Review) + Assessing and applying Medical ... Verifies and documents Participant eligibility for services. + Receives Home Adaptation referrals for authorization of Long Term Services and Supports available… more
- Rochester Institute of Technology (Rochester, NY)
- …from clinical providers, pursue insurance authorization for medications, imaging and specialist referrals as required. + Clinical referral process + Use the ... + Prior authorization + Using information...+ Experience with NYS Immunization law + Experience with referrals and prior authorizations + Medical terminology… more
- Air National Guard Units (Cheyenne, WY)
- …SERVICE POSITION. This National Guard position is for an AIR TRAFFIC CONTROL SPECIALIST (TERMINAL), Position Description Number D1799000 and is part of the WY 243d ... be made from Areas 1, 2 and 4. If referrals are not made from the target category, subsequent...(if eligible). Preference will be given to applicants with prior Air Force Air Traffic Control experience. Area 1:… more
- County of El Dorado (Placerville, CA)
- …+ Possession of a registration by the State of California as an Environmental Health Specialist prior to advancement to the II-level. + Ability to renew the ... Environmental Health Specialist I/II Print (https://www.governmentjobs.com/careers/edcgov/jobs/newprint/5102488) Apply Environmental Health Specialist I/II… more
- Brockton Hospital (West Bridgewater, MA)
- …the lives and health of our patients. Position Summary: Financial Clearance Specialist ensures all necessary information is proactively obtained and verified for ... W. Center Street, West Bridgewater, MA Department: Financial Clearance Specialist This is a full-time 40 hour/ week position...Primary Care Physician (PCP) information and ensures appropriate PCP referrals are in place for the provider and service… more
- City of New York (New York, NY)
- …services, mental health and substance abuse screening and treatment referrals , transportation assistance, referrals to community-based organizations, and ... as a Single Room Occupancy (SRO) Audit and Billing Specialist . Under the direction of the Deputy Director of...retroactive payments and determines the accuracy of the request prior to submission to the Director of SRO Audit… more