- Catholic Health Initiatives (Hixson, TN)
- …for patients, to ensure timely reimbursements. Follows up on all test and referrals to specialist office until the documentation is received and scanned ... **Job Summary and Responsibilities** The Referral Specialist works with patients requiring a referral for a test or to a specialist office, to ensure patient's… more
- Rochester Regional Health (Rochester, NY)
- …and procedures in the health system to ensure appropriate evaluation, care and referrals . The referral specialist will focus on patient centered referral process ... JOB TITLE: Oncology Referral Specialist DEPARTMENT: Medical Oncology Hematology LOCATION: Lipson Cancer... will be responsible to process, track and obtain authorization for all incoming and outgoing referrals .… more
- Community Health Systems (Laredo, TX)
- …on clinic infrastructure.) Scope: Physician practice clinic Care Coordination Specialist responsibilities include all inpatient/outpatient clinic referrals and ... **Job Summary** The Care Coordination Specialist Clinics is responsible for assisting in the...for assisting in the coordination of patient care with referrals and/or authorizations for services. Works with providers and… more
- Banner Health (Mesa, AZ)
- …practice. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being ... when needed. 3. Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior to the services being rendered… more
- Elevance Health (Plano, TX)
- …. **How you will make an im** **pact:** + Initiates and manages clinical referrals for pre- authorization . + Acts as a liaison between hospital, health plans, ... **Referral Specialist I** **Hybrid** : **This role requires associates...physicians, patients, vendors and other referral sources. + Reviews referrals for completeness and follows up for additional information… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …retrieval (SIR) queues throughout day for messages, potential care management referrals , authorization requests and clinical documentation + Coordinates with ... Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization… more
- Sutter Health (San Francisco, CA)
- …the inbound and outbound phone calls and documenting and processing home care referrals in the EMR system. The Referral Specialist assists with scheduling ... health referral management team. This position assists the Clinical Referral Specialist and Home Health Administrator in ensuring the effective communication between… more
- Hartford HealthCare (North Haven, CT)
- …specialties. *_Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to obtain insurance ... Must have consistent documentation in EPIC to support the obtained insurance authorization . Will communicates changes in payer and or federal regulatory guidelines… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Verifies and documents Participant eligibility for services. + Receives Home Adaptation referrals for authorization of Long Term Services and Supports available ... us at www.amerihealthcaritas.com . The Community Health Choices (CHC) Home Modification Specialist works within the scope of the service definition for home… more
- Brockton Hospital (West Bridgewater, MA)
- …the lives and health of our patients. Position Summary: Financial Clearance Specialist ensures all necessary information is proactively obtained and verified for ... W. Center Street, West Bridgewater, MA Department: Financial Clearance Specialist This is a full-time 40 hour/ week position...Primary Care Physician (PCP) information and ensures appropriate PCP referrals are in place for the provider and service… more