- Luke Staffing (Yigo, GU)
- **NURSE - REFERRAL MANAGEMENT** **SITE OF SERVICE:** + Anderson Air Force Base, Guam + Full Time **POSITION QUALIFICATION/REQUIREMENTS:** + **Education:** Vocational ... requirements of this position, it must be directly related to referral /utilization management. + **Licensure:** Current, full, active, and unrestricted license to… more
- Tidelands Health (Myrtle Beach, SC)
- …system, identifying deductibles, copayments, coinsurance, and policy limitations. Obtains referral , authorization and pre-certification information if needed; ... and help people live better lives through better health!** **Patient Services Representative II** Are you passionate about quality and committed to excellence?… more
- Tidelands Health (Hemingway, SC)
- …system, identifying deductibles, copayments, coinsurance, and policy limitations. Obtains referral , authorization and pre-certification information if needed; ... people live better lives through better health!** **Patient Services Representative I** Are you passionate about quality and committed...intent of this job description is to provide a representative and level of the types of duties and… more
- Shimmick (Chattanooga, TN)
- …of a qualified individuals who can fulfill the role of Commissioning Representative for the Chickamauga Lock Replacement Project. This project is being performed ... position does not include sponsorship for United States work authorization . The salary range for this position is between...will not consider or agree to payment of any referral compensation or recruiter fee. In the event a… more
- Dignity Health (Long Beach, CA)
- …of all subspecialty referrals and when required obtaining any third party authorization . This individual will also be responsible for obtaining third party ... authorization prior to patients scheduled clinic visits. Coordinates and...diagnostic procedures/studies and if required obtains any third party authorization . **Job Requirements** + Minimum of one year work… more
- Pacific Medical Centers (Renton, WA)
- …Provides the administrative functions needed to support a smooth, efficient referral process; assists the utilization review and case management nurse with ... management of referrals and monitoring or institutional patients. Providence caregivers are not simply valued - they're invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers in our culture of patient-focused, whole-person care built on… more
- Providence (Spokane Valley, WA)
- …clinical component of home infusion. Other responsibilities include entering patient referral data into the database, entering physician information into the ... database, entering outcomes information into the database, and tracking CIIs and patient satisfaction surveys. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Infusion and Pharmacy Services and thrive in our… more
- Providence (Santa Rosa, CA)
- **Description** The Referral Coordinator prepares clinical data for physician/IPP/CBO approval and obtains authorizations; acts as liaison between patient, medical ... assistant, physician, IPP, CMS Department and Central Business Office. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on… more
- Providence (Spokane Valley, WA)
- …clinical component of home infusion. Other responsibilities include entering patient referral data into the database, entering physician information into the ... database, entering outcomes information into the database, and tracking CIIs and patient satisfaction surveys. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Infusion and Pharmacy Services and thrive in our… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization representative , with oversight ... of data and compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and… more
- Intermountain Health (Denver, CO)
- **Job Description:** The Referral Representative processes insurance pre- authorization for primary and specialty service office visits and testing. Receives ... in this circumstance. Verifies insurance coverage and obtains required authorization when necessary. Documents referral information, communications, actions… more
- Banner Health (Greeley, CO)
- …patient care. POSITION SUMMARY This position performs insurance verification and authorization functions that support Patient Access Services and ensures compliance ... for the services provided. This position is expected to reduce authorization -related initial denials/write-offs. CORE FUNCTIONS 1. Uses department procedures and new… more
- Health Advocates Network (Beverly Hills, CA)
- …prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend & Cash in! + Travel reimbursement and ... per diem allowances + Employee discounts + Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare professionals and built for healthcare… more
- Intermountain Health (Wheat Ridge, CO)
- **Job Description:** The Referral Specialist is responsible to execute patient referrals as indicated by physicians, seek authorization as required by individual ... insurances and notify patients. **This is a hybrid position** + Obtains referral request from physician. + Ensures patients have been cleared for specialty service… more
- Penn Medicine (King Of Prussia, PA)
- …internal and external customers for admissions processing; Obtain initial prior authorization for services; obtain ongoing prior authorizations for a selected part ... checks, providing insurance coverage information to patients, families, and to referral sources; real-time documentation in Penn's EMR, real-time communication among… more
- Trinity Health (Hartford, CT)
- …services which are essential to the efficient operation of the organization's referral process. Works closely with the clinical department staff as well customer ... completeness of information, urgency, and other designated criteria + Completes pre- authorization workflows as required. Contact insurance companies to ensure prior… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully Remote Position ... Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy...environment PHYSICAL DEMANDS The physical demands described here are representative of those that should be met by an… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $23.00 Hourly Job Category Pharmaceutical ... for career advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected… more
- University of Miami (Medley, FL)
- …are completed in a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + ... externally + Contact Primary Care Physician offices and/or Health Plans to obtain authorization or referral for scheduled services according to authorization … more
- University of Miami (North Miami, FL)
- …are completed in a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + ... externally + Contact Primary Care Physician offices and/or Health Plans to obtain authorization or referral for scheduled services according to authorization … more
