- University of Rochester (Rochester, NY)
- …GENERAL PURPOSE Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with ... visits in which they are missing. + Documents all communications pertaining to the referral and/or insurance authorization in the notes section of the electronic… more
- University of Rochester (Rochester, NY)
- …gathers and sends information to insurance carrier and/or provider needed for obtaining referral or prior authorization for required preliminary testing. + ... be performed on a daily basis. The Physician Support Rep III, PCA Centralized Projects plays a valuable support...practices. + Employs multiple tracking mechanisms to ensure that referral approvals and appointments are obtained in a timely… more
- University of Rochester (Rochester, NY)
- …identification, quantification, and resolution. + Performs and maintains proficiencies of the duties of Referral & Prior Auth Rep III. + Provides training to ... when needed. + Performs quality assurance monitoring for activities relating to prior - authorization and other areas that affect it, utilizing specific criteria.… more
- University of Rochester (Rochester, NY)
- …related duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of ... insurance coverage determination, patient out of pocket determination, determination of prior authorization requirements. The PAR will communicate with the… more
- University of Rochester (Rochester, NY)
- …Utilization Management, Social Work, Patient Accounts, Medical Records, Surgeon offices, Prior Authorization Teams, Contracting and Finance. + External ... case management, clinical team and contracting. The Health Insurance & Auth Rep is ultimately responsible for minimizing any delays from admission/arrival until the… more
- University of Rochester (Rochester, NY)
- …Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + External coordination ... and completeness of insurance and demographic information to ensure case is secure prior to discharge. Identifies problems that include but are not limited to… more
- University of Rochester (Rochester, NY)
- …or outside services to meet patient's needs. + Ensures patient satisfaction with visits prior to discharge from the area. + Prints After Visit Summary at check-out ... and takes messages. + Initiates insurance preauthorization, verification, and/or service authorization in advance of treatment through a review of dental insurance… more
- University of Rochester (Rochester, NY)
- …to meet patient's needs (eg, transportation), assures patient satisfaction with visit prior to discharge from the area. Prints After Visit Summary at check-out ... - Insurance Management: Initiates insurance preauthorization, verification, and/or service authorization in advance of treatment through review of dental insurance… more
- Bump Boxes (Rochester, NY)
- …in the following areas, you should Apply Today! + Insurance verification + Prior Authorization + Billing experience - Medicare, Medicaid, or Managed Care ... Medical Office + Healthcare background + CPAP and Oxygen experience Customer Service Representative Duties: + Welcome patients in person and over the phone, as well… more