- University of Rochester (Rochester, NY)
- …PURPOSE Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, ... Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910335 Ortho Prior Authorization Work Shift: UR - Day (United States of America) Range: UR… more
- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** GENERAL PURPOSE: POSITION SUMMARY: Serves as the patient referral and prior authorization specialist, with oversight of ... data and compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and… 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
- TEKsystems (Northridge, CA)
- …day. They will be responsible for coordinating with the Eligibility Team, Case Managers, and Prior Auth Nurses to submit prior authorizations. + Reach out to ... Position: Prior Authorization Representative Schedule: M-F 8:30am-5:30pm...Skills/Qualifications: + Health plan knowledge + Inbound/outbound calls + Prior Authorization / Medical Referral experience 1-3… more
- Intermountain Health (Park City, UT)
- …+ Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior auth for them. Verifies eligibility and benefits. Coordinates ... process. This includes pre-op labs, tests, or any pre-requisite that needs prior attention. Coordinates with Providers and Medical Staff any red flag pre-operative… more
- UNC Health Care (Goldsboro, NC)
- …obtain the pre-certifications/authorizations. Documents communication in the EHR and updates referral statuses. Acts as a representative to complete referrals ... 3. Initiates the authorization/precertification process for referrals in Epic. 4. Update the referral status and auth /cert status in EPIC. 5. Acknowledge and… more