- Elevance Health (Plano, TX)
- …our specialty pharmacies, our infusion centers, and the home setting. **Title** : Referral Specialist II - Paragon Healthcare **Location:** TX-PLANO, 3033 W ... an accommodation is granted as required by law.** The ** Referral Specialist II** is responsible for providing...+ Assigns referrals to staff as appropriate. + Verifies insurance coverage and obtains authorizations if needed from … more
- Trinity Health (Syracuse, NY)
- …being faithful to who we say we are. **ESSENTIAL DUTIES AND RESPONSIBILITIES** :Obtain insurance authorization from patient's insurance company. This may be ... concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist .Call patient… more
- Trinity Health (Syracuse, NY)
- …to who we say we are. **ESSENTIAL DUTIES AND RESPONSIBILITIES** : + Obtain insurance authorization from patient's insurance company. This may be done ... by phone, fax, or online depending on insurance company's process. + Coordinate patient referrals to **s**...patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist… more
- McLaren Health Care (Lansing, MI)
- …care as directed by the referring patient's healthcare provider. 2. Contacts health insurance providers to obtain insurance authorization as needed. 3. ... per provider request. Ensures that patients receive information regarding their referral prior to their scheduled appointment with the external provider. Ensures… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Fully Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, ... invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and...by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure… more
- University of Rochester (Rochester, NY)
- …any visits in which they are missing. + Documents all communications pertaining to the referral and/or insurance authorization in the notes section of the ... by patient. + Participates as an active member of the care team. + Acquire insurance authorization for the visit and, if applicable, any testing; insurance … more
- Spectrum Billing Solutions (Skokie, IL)
- … | Utilization Management Specialist | UR Specialist | Revenue Cycle Specialist | Insurance Specialist | UR Specialist | Revenue Cycle ... are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR ...continuing authorization for treatment services. + Manage authorization denials including referral for peer review.… more
- UnityPoint Health (Moline, IL)
- …procedures or specialist visits. * Maintain up-to-date knowledge of insurance coverage and authorization processes, staying informed about any changes ... and Prior Auth Mgmt + Shift: 8-5 Mon - Friday + Job ID: 175362 Overview Referral Specialist Monday-Friday 8:00AM-5:00PM Full Time Benefits As a Referral … more
- AssistRx (Orlando, FL)
- … and the coverage provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing ... and therapies that they need. This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance… more
- AmeriHealth Caritas (Philadelphia, PA)
- … source if insufficient information is not available to complete the authorization process. Advises the referral source and requests specific information ... us at www.amerihealthcaritas.com . The Community Health Choices (CHC) Home Modification Specialist works within the scope of the service definition for home… more