- Elevance Health (Chicago, IL)
- **Appeals Referral Specialist ** **Location :** **Hybrid** - This role requires associates to be in-office **3 days per week** , fostering collaboration and ... Friday 10:30 am - 7:00 pm CST The **Appeals Referral Specialist ** is responsible for providing support...Assigns escalated referrals to staff as appropriate. + Verifies insurance coverage and completes pre- authorization process for… more
- AdventHealth (Ocala, FL)
- …health plans, providers, and patients to process referrals. The Referral Specialist will assist patients in meeting their insurance and clinical requirements ... ** Referral Specialist - AdventHealth Primary Care...front office operations including but not limited to scheduling, insurance verification and authorization , and maintains positive… more
- Saint Francis Health System (OK)
- …training is mandatory.** Shift: Monday - Friday 8:30am - 5:00pm Job Summary: The Referral Specialist will review, analyze and document all referral requests, ... work to achieve optimal scheduling of patient for care. Includes research of referral to determine if all documentation is included necessary to process request and… more
- BayCare Health System (Winter Haven, FL)
- …and clinical excellence. BayCare is currently in search of our newest Patient Referral Specialist who is passionate about providing outstanding customer service ... may vary) + **Days:** Monday - Friday The Patient Referral Specialist is responsible for: + Obtains...in processing referrals. + Understands and works with various insurance payer rule sets, payer manuals and assist providers,… 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
- Sutter Health (Sacramento, CA)
- …payers (eg, PPO, HMO, Medicare, insurance plans). + knowledge of insurance authorization process and HIPPA requirements. + Familiar with medical and ... IN:** + 5 years progressively responsible experience in healthcare/medical insurance , Health Information Management, Admitting/Patient Access, Patient Financial Services,… more
- Sutter Health (Sacramento, CA)
- …system, affiliate and community resources, and third-party payers (eg, PPO, HMO, Medicare, insurance plans). knowledge of insurance authorization process and ... and managed care terminologies. Understanding of disease process to assess referral requests and appropriate level/provider of care required. Ability to define… more
- Sutter Health (Sacramento, CA)
- …system, affiliate and community resources, and third-party payers (eg, PPO, HMO, Medicare, insurance plans). knowledge of insurance authorization process and ... and managed care terminologies. Understanding of disease process to assess referral requests and appropriate level/provider of care required. Ability to define… more
- Community Health Systems (Sarasota, FL)
- …The Insurance Specialist I is responsible for verifying insurance eligibility and benefits, ensuring authorization requirements are met, and completing ... and accurate communication with patients, providers, and medical office staff. The Insurance Specialist I supports the financial clearance process by educating… more
- Great River Health (West Burlington, IA)
- …facilities for skilled care, intermediate level of care and/or inpatient rehabilitation. Insurance Authorization Specialist is responsible for verifying ... facilities for skilled care, intermediate level of care and/or inpatient rehabilitation. Insurance Authorization Specialist is responsible for verifying … more