- Merck & Co. (Rahway, NJ)
- …allow swift, organized compliance across regulatory agencies. We are an international network on the leading-edge of healthcare breakthroughs that help provide new, ... of local registration study protocols when needed to obtain marketing authorization in secondary markets.Represents our company with external organizations through… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... accurate information + Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works in alignment with… more
- St. Luke's University Health Network (Allentown, PA)
- …PCP and Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct ... Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, 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
- HonorHealth (Phoenix, AZ)
- …in general and PN specifically. Obtains referral request documentation Completes referral authorization / prior authorization in a timely fashion ... million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary,… more
- HonorHealth (Scottsdale, AZ)
- …communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the review of ... obtain authorizations. Qualifications Education High School Diploma or GED Required Experience 1 year health plan based prior authorization experience. Required more
- St. Luke's University Health Network (Allentown, PA)
- …and submit all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion* Obtains knowledge of any barrier's ... we serve, regardless of a patient's ability to pay for health care. The Referral Scheduling Specialist is a liaison between the providers and the patients. They are… 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
- 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
- Banner Health (Phoenix, AZ)
- …practice. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being ... team members many career and lifestyle choices throughout our network of facilities. Apply today, this could be the...Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior to… more
- Trinity Health (Grand Rapids, MI)
- …testing in timely fashion with proper documentation. + Works denied claims for missing prior authorization or referral within the EMR system. + Confirms ... school graduate/ GED required. + Extensive knowledge of the insurance market & prior authorization requirements. + Billing and coding knowledge and experience… more
- University of Washington (Seattle, WA)
- …telephone encounters, faxes, staff messages and eCare messages related to referrals and prior authorization requests and questions. + Partnering with all members ... Req #: 235597 Department: REFERRAL COORDINATION Job Location Detail: PRIMARY CARE -...to the UW Medicine Health System and to process prior authorizations + Pre-verify and submit required paperwork and… more
- Sanford Health (SD)
- …regulations and internal policies that effect resource utilization and potentially, prior authorization . Assists the department in monitoring the utilization ... Summary** Communicate with providers and/or members regarding management of out-of- network exception requests. Provide care coordination for designated Health Plan… more
- Anthony Jordan Health Corp (Rochester, NY)
- …referrals as requested by providers. . Check patients' insurance to determine if prior authorization is needed. . Processes on site transportation request made ... REFERRAL CLERK/INTERPRETER ROCHESTER, NY (http://maps.google.com/maps?q=82+Holland+St+ROCHESTER+NY+USA+14605) * Medical Records...NY, Jordan Health has since expanded to become a network of primary care offices and health centers serving… more
- Serta Simmons Bedding (Sacramento, CA)
- Sr. Engineering Manager: Manufacturing Applications and Network (USA) Req ID: 4730 Job Category: Business Excellence Location: Sacramento, CA, US, 95814 **Be Part of ... **What You'll Do** We're seeking a Sr. Manager, Manufacturing Applications and Network , who will be responsible for designing, developing, and implementing programs… more
- Health Advocates Network (Folsom, CA)
- Health Advocates Network is hiring a **Denials Analyst** **(2 Years Exp Req)** ! This is a full-time contract position at a nationally recognized hospital located in ... a Library of Payer reference material regarding requirements for pre- authorization , medical necessity, and documentation requirements. Works with the Revenue… more
- St. Luke's University Health Network (Allentown, PA)
- …needs change, the services may be performed at any level within the Network 's continuum of services and/or sites. JOB DUTIES AND RESPONSIBILITIES: + Demonstrates ... care. + Arranges for community services (including short and long-term placement) prior to discharge to meet patient's needs with recognition and documentation of… more
- Air National Guard Units (Beale AFB, CA)
- …EXCEPTED SERVICE POSITION. This National Guard position is for a IT SPECIALIST ( NETWORK ) TITLE 32 PERMANENT, Position Description Number D2181P01 and is part of the ... vacancy is to gather applications that may or may not result in a referral or selection. Responsibilities This is an Air National Guard (ANG) Dual Status Technician… more
- Health Advocates Network (Hackensack, NJ)
- …Experience with scheduling appointments required + Experience with insurance verification and prior authorization required + EPIC experience required + American ... Health Advocates Network is hiring a **Medical Assistant** **(1 Year...be required. **Benefits We Offer:** + Competitive pay rates, Referral opportunities, Comprehensive health, prescription, dental, vision, life, and… more
- Hartford HealthCare (Hartford, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . Hartford HealthCare Medical Group is one of the largest medical practices ... urgent care and more than 30 different specialties. *_Job Description_* Authorization Coordinators are responsible for obtaining authorizations on all testing… more
