- CenterWell (Phoenix, AZ)
- …and Specialty Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is ... or operational solutions. + Strong knowledge of primary care, specialist networks, and prior authorization ...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Reno Orthopedic Center (Reno, NV)
- Reno Orthopedic Center wants you to join the team as a Medical Assistant! We are seeking an enthusiastic and dedicated team member to play a vital role in assisting ... and keeps them informed throughout the process. From conducting initial medical screenings and documenting vital health information to assisting with procedures… more
- UnityPoint Health (Des Moines, IA)
- …limited to taking patient vital signs, performs dressing changes, supports registration, prior authorization , answering phones and ordering supplies on the unit. ... Shift: M-F Days + Job ID: 175074 Overview Certified Medical Assistant - Hematology Oncology Clinic UnityPoint Health Des...electronic health record. + Schedules referrals for patients with specialist or outpatient as requested by the provider. +… more
- SUNY Upstate Medical University (Syracuse, NY)
- …(ABN) waivers, pre-authorizations, referrals, correct insurance demographic information and medical necessity pertaining to documentation and coding. Will interact ... information is obtained at the time of scheduling or prior to when the exam is ordered. Assist with... to when the exam is ordered. Assist with pre- authorization as needed and coordinate any pre-registration requirements with… more
- St. Peters Health (Helena, MT)
- …skills and compassionate competence. 4. Apply medical knowledge and experience for prior authorization requests. 5. Perform detailed medical reviews of ... cases where admission exceeds the GMLOS, documentation of avoidable, initiation of authorization request and submission of records for post-acute care facilities who… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Scheduling Specialist is responsible for coordinating patient appointments in EPIC, ensuring accuracy and efficiency throughout the scheduling and ... referring providers to obtain necessary notes, reports, and diagnostic test results prior to appointments. + Prepare add-on charts and ensure all necessary… more
- MyFlorida (St. Petersburg, FL)
- …Uses professional guidelines for Specialty Care. Develops procedures to evaluate medical necessity. + Evaluates authorization requests for specialty care ... to be used for consistent application of criteria. + Liaisons with specialist providers requesting additional medical information as needed. INDIRECT SERVICES… more
- AECOM (Tucson, AZ)
- …better world. Join us. **Job Description** **AECOM** is seeking a **Quality Control Specialist IV** (Inspector / Quality Assurance Manager) to be based in the ... AZ.** AECOM is seeking a highly qualified resilient qualified Quality Control Specialist to provide embedded leadership of the QA/QC and On-Site Inspection support… more
- Covenant Health Inc. (Knoxville, TN)
- …Receives referrals and new orders on patients. Responsible for verification, prior authorization , and Recertification of insurance. Negotiates pricing with ... Overview Patient Registration Specialist , Patient Services Center Full Time, 80 Hours...coverage on each new referral taken. + Obtains a Prior Authorization and or Recertification when required… more
- Whidbey General Hospital (Coupeville, WA)
- …advanced education preferred. Training and Experience One (1) year of previous medical office experience preferred with prior experience using an electronic ... advanced education preferred. Training and Experience One (1) year of previous medical office experience preferred with prior experience using an electronic… more