- Beth Israel Lahey Health (Beverly, MA)
- …in outpatient departments. Monitors outcomes to ensure medical necessity and authorization requirements are met. Provides feedback to departments on medical ... necessity and authorization processes. **Job Description:** **Essential Responsibilities:** Verifies patient's insurance eligibility for visit, using various online… more
- Froedtert South (Kenosha, WI)
- Prior Authorization /Referral Specialist Froedtert South Kenosha, WI (Onsite) Full-Time Apply on company site Job Details + POSITION PURPOSE + A Prior- ... Authorization /Referral Specialist is responsible for determining insurance...KNOWLEDGE, SKILLS & ABILITIES REQUIRED + Experience in prior authorization / referrals , patient registration, insurance verification and health… more
- Glens Falls Hospital (Glens Falls, NY)
- …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... per week, can be foundhere. **Job:** **Administrative/Clerical* **Title:** *Referral & Authorization Specialist - Cancer Center * **Location:** *NY-Glens Falls*… more
- Health Advocates Network (Phoenix, AZ)
- …with excellent benefits! **Required Qualifications of the Prior Authorization /Referral Specialist ** - 2+ years of recent specialty referrals and insurance ... Contract to Hire **Job # 24125 Prior Authorization /Referral Specialist ** **Acclivity Healthcare - Your...for specialty service office visits - Obtain and issue referrals for ancillary, consult, radiology, or lab visits -… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- …applicable. + Is a source of knowledge for primary care providers regarding specialist referrals . + Performs other duties as assigned. Supervision Received ... Position Information Posting NumberSRGV7496 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST (UT Health RGV Cancer and Surgery Center) Number of… more
- TEKsystems (Dallas, TX)
- …Medical field can only apply! Description: Position Purpose: Supports the prior authorization request to ensure all authorization requests are addressed properly ... in the contractual timeline. Aids utilization management team to document authorization requests and obtain accurate and timely documentation for services related… more
- Children's Hospital Boston (Boston, MA)
- 72876BRJob Posting Title:Senior Financial Insurance Authorization Specialist - Infusion TeamDepartment:Finance-Patient Access ... CenterAutoReqId:72876BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:FinanceJob Posting Description:The Authorization Specialist is the Perfect job for… more
- St. Luke's University Health Network (Allentown, PA)
- …insurance verification, obtaining pre-authorizations, scheduling, and referrals . The specialist will secure the necessary prior authorization , then notify ... ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of prior-authorizations and referral… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... and surgery. Performs scheduling, insurance verification, obtaining pre-authorizations, and referrals . Ensures notification of reimbursement to physicians, nurses, financial… more
- Trinity Health (South Bend, IN)
- …time **Shift:** Day Shift **Description:** **JOB SUMMARY** Obtains accurate authorization and billing information to effectively authorize/pre-certify all patients ... for appropriate service authorizations (pre-certifications, third party payer authorizations, referrals ) and will contact the physician/office and Case Management/Utilization… more
- Option Care Health (Denver, CO)
- …Summary:** This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected ... Description:** **Job Responsibilities** + Processes benefit verification or authorization for all new referrals with speed...benefit verification or authorization for all new referrals with speed and accuracy. + Assist AVA Supervisor… more
- UT Health (Houston, TX)
- Insurance Authorization Verification Specialist I- Central Services **Location:** Houston, Texas **Category:** Healthcare Support Services McGovern Medical ... **Position Summary:** Verifies insurance policy benefit information and obtains Authorization / Precertification, prior to the patient's visit or scheduled admission,… more
- TEKsystems (Louisville, KY)
- Description: - Verifies insurance eligibility and benefits of prospects/ referrals and determines rate requirements as it relates to in or out of network coverage on ... replies to branch locations urgent requests - Obtains all authorization needed from payer for services ordered or requested...or requested - Documents specific details related to the authorization including effective and end dates - Serves as… more
- University of Virginia (Charlottesville, VA)
- Assures that all referrals are managed effectively and efficiently. Provides high-level customer service to both referring physicians as well as referred patients. ... Obtains pre- authorization for all diagnostic tests and performs additional administrative...contracts/changes and departmental policies and procedures. + Assures all referrals are handled effectively and efficiently. + Analyzes information… more
- University of Colorado (Aurora, CO)
- …both the HTC AMC and Outreach clinics. + Obtain, review and input insurance authorization and referrals prior to patient services, and throughout treatment to ... and Outreach clinics. + Obtain, review and input insurance authorization and referrals prior to patient services,...key member of the Revenue Cycle Team, the Prior Authorization and Payer Reimbursement Specialist (PAPR) at… more
- Adelante (Phoenix, AZ)
- …procedures and benefits, related to the need for referrals . Coordinates referrals with patients and specialist 's offices, and process insurance referrals ... health locations POSITION REPONSIBILITIES + Initiate and manage clinical referrals for pre- authorization + Act as a liaison between health plans, physicians,… more
- Health Advocates Network (Peoria, AZ)
- …ensuring successful payment of services rendered by overseeing the eligibility and authorization specialist team. **Responsibilities of the Eligibility and ... Contract to Hire **Job # 24149 Eligibility and Authorization Supervisor** **Acclivity Healthcare - Your personable, proven partner!** Since 1999, Acclivity… more
- Beth Israel Lahey Health (Plymouth, MA)
- …staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with APG's, BIDMC's and BIDPO's contractual rules and ... and administratively sign off on a high volume of referrals . Learn and remain proficient on multiple electronic technologies...on APG managed care related issues. Communicate to the specialist and/or patient the level of care, number of… more
- University of Rochester (Rochester, NY)
- 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...and follow up. Adheres to approved protocols for working referrals and prior authorizations. Makes decisions that are guided… more
- University of Massachusetts Amherst (Amherst, MA)
- …practice, adhering to the guidelines set forth by the providers. + Processes referrals and orders to specialist groups or outside imaging facilities. Additional ... Clerk IV (Patient Benefit & Referral Specialist ) Apply now (https://secure.dc4.pageuppeople.com/apply/822/gateway/default.aspx?c=apply&lJobID=521343&lJobSourceTypeID=801&sLanguage=en-us) Job no: 521343 Work… more