- 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
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8268 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST (UT Health RGV Cancer and Surgery Center-Rehabilitation ... processing all prior authorizations and referrals and entering the completed referral into the electronic medical record system for claims adjudication to ensure… more
- St. Luke's University Health Network (Tamaqua, PA)
- …Acquire and submit all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion + Obtains knowledge of any ... we serve, regardless of a patient's ability to pay for health care. The Referral Coordinator is a liaison between the providers and the patients. They are… more
- Cardinal Health (Nashville, TN)
- …authorization requirements + Ensures compendia compliance and obtains all required authorization and referral information for patients' treatments. + Receives ... and ends when the patient's account balance is zero. Benefits and Authorization Coordinator This position is responsible for reviewing the physician's daily schedule… more
- Guthrie (Binghamton, NY)
- …and within required timeframes and assuring referrals are maintained within appropriate network and/or payer requirement. Remains current on referral policies ... requested that are not authorized by insurance. Education: High school diploma and prior experience with insurance authorization The pay range for this position… 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 ... a medical office required. + Extensive knowledge of the insurance market & prior authorization requirements. + Billing and coding knowledge and experience… more
- University of Utah Health (Murray, UT)
- …policies. + Ensures providers are following proper medical procedure and referral , information/ authorization , covered service guidelines, and submission of ... interaction with internal departments as well as conversations with the Provider Network . + It requires frequent travel to Providers' offices where it negotiates… more
- Eastern Connecticut Health Network (Manchester, CT)
- …for patient movement across the system. Assists with verification of benefits, and prior authorization for services to ensure payment with perspective insurance ... behavioral health from surrounding hospitals. + Perform insurance benefit verifications and prior authorization for admission. + Ensure all medical admission… more
- Cambridge International Systems Inc (Doral, FL)
- …International Systems, Inc. has a full-time Department of Defense Information Network (DoDIN) Operations Lead opportunity available based in Doral, FL. Qualified ... Command has an exciting, challenging opportunity for someone versed in DoD network infrastructure and architecture. Person hired for our Department of Defense… 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
- Bassett Healthcare (Oneonta, NY)
- …Attends Patient Access Review Sessions (PARS) Obtains prior approval or prior authorization as needed. Communicates referral appointment and appointment ... point of contact for patients within the Bassett Healthcare Network . This is a key role in the patient...urgent referrals same day. Processes electronic or written routine referral requests within 24-72 hours In regards to referrals,… more
- Henry Ford Health System (Troy, MI)
- …are not limited eviCore (CareCore National) exception reports, that relate to the authorization and processing of outpatient referral activity. + When indicated, ... PRINCIPLE DUTIES AND RESPONSIBILITIES: + Researches, assesses and processes all requests for authorization that are initiated through the call center as well as the… more
- Community Health Systems (Las Cruces, NM)
- …follows up with the insurance company until there is resolution of the prior authorization request - an approval, redirection, or denial. All activity ... linked to the referral requested. + Validates continuity of care and network integrity based on service line availability for quality patient care. + Sends all… more
- Actalent (Albuquerque, NM)
- …+ Perform clinical review, analysis, recommendation, decision, and documentation of prior authorization requests, medical exception requests, and appeal ... drug information support and research clinical literature documentation to support prior authorization decisions. + Prepare Pharmacy and Therapeutics meeting… more
- University of Virginia (Charlottesville, VA)
- …out of network ' for services. b. Informs patients about the authorization status as necessary. c. Prepares patient financial liability estimates and takes ... staff is accomplished in a timely manner to ensure accurate pre-certification/ authorization information is aligned with accurate billing of services. i.… more
- Covenant Health Inc. (Knoxville, TN)
- …of Covenant Health (http://www.covenanthealth.com) , our region's top-performing healthcare network . Position Summary: The Clinical Field Staff Supervisor (CFSS) ... company success of providing by effectively facilitating the relationship between referral sources, patients, caregivers and employees. Recruiter: Sandra Simmons ||… more
- WellSpan Health (York, PA)
- …M-F: 8am-6pm sat & Sun: 9am-5pm **General Summary** Processes all information and referral calls for intake. Provides support to multiple referral sources. ... all the information for onboarding the patient is complete prior to beginning services. Assists with coordination of care...and support as appropriate at the time of initial referral contact, and assesses for appropriateness for home infusion.… more
- Louisiana Department of State Civil Service (Homer, LA)
- …individuals. This includes but is not limited to offender LAN (Local Area Network ), computers, applications, and network components (switches etc.). - Support ... and maintain Camera Systems LAN, computers, applications, and network components (switches etc..). - Provide maintenance, troubleshooting and repair of all… more
- Intermountain Health (Ogden, UT)
- …and benefits. Coordinates referral for patients that will go out of network . Point of contact for surgery authorization questions. Obtain proper CPT code ... signed off and sent for hospital orders. + Obtains authorization for surgeries/hospital procedures by researching coverage and obtain...procedures by researching coverage and obtain prior auth for them. Verifies eligibility… more
- Panasonic North America (Mountain View, CA)
- …references. The team is led by institutional venture investors and operators with prior experience from IVP, Kleiner Perkins, Intel Capital and a range of startups. ... industries and build investment theses. + Using our collective network , reach out to entrepreneurs and other investors to...Pet Insurance + Paid Parental Care Leave + Employee Referral Program + Educational Assistance + Flexible Work Program… more