- St. Luke's University Health Network (Orwigsburg, PA)
- …regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... Provides insurance company with clinical information necessary to secure prior - authorization or referral . + Works...Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.… more
- Providence (Lubbock, TX)
- …2 years of Medical office experience dealing with scheduling, telephone calls, prior pre-certification/ pre- authorization , as well as using an electronic medical ... patients requiring pre-certifications, referrals, RQI numbers or any kind of authorization from an insurance company. Primary responsibilities include speaking with… more
- St. Luke's University Health Network (Bethlehem, PA)
- …Acquire and submit all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion + Obtains knowledge of any ... we serve, regardless of a patient's ability to pay for health care. The Referral Scheduling Specialist is a liaison between the providers and the patients. They are… more
- Bon Secours Mercy Health (Colonial Heights, VA)
- …diagnostic services, preoperative tests, and patient appointments. + Assists with prior authorization for scheduled procedures. + Communicates scheduling ... information with providers, clinic staff, and patients. + Shares information with appropriate personnel to ensure the smooth processing of patients through the surgical pathway. + Provides front-office support duties including, but not limited to, obtaining… more
- Tufts Medicine (Stoneham, MA)
- …under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is ... under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is… more
- Bassett Healthcare (Hamilton, NY)
- … appointment instructions to the patient Communicates with clinicians to bring referral /insurance/ prior authorization updates Acts as a liaison with ... network insurance deductibles and "co-insurance." Acquires medical necessity documentation Obtains prior approval or prior authorization as required by… more
- Trinity Health (Rensselaer, NY)
- …documentation. - Works in colaboration with Billing Analyst on denied claims for missing prior authorization or referral within the EMR system. - Maintains ... up-to-date knowledge of referral /payer prior authorization requirements, eligibility...complete pre-certification process. Care Coordination - Confirms payer is in- network with specialist. If not, contacts patient to discuss… more
- Luke Staffing (GU)
- …TRICARE benefit for approval. + Ensures Line of Duty paperwork is on file prior to authorization . + Verify eligibility of beneficiaries using Defense Eligibility ... **NURSE - REFERRAL MANAGEMENT** **SITE OF SERVICE:** + Anderson Air...communication between beneficiaries, team members, internal staff and providers, network /outside providers and ancillary health care workers. + Reviews… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …behavioral health system in the country, our 220-acre main campus, and our network of clinical sites across Michigan. We are a tight-knit community of healers ... incredible work. What Will You Do?As an Assessment & Referral Clinician at Pine Rest, you'll be part of...including interfacing with insurance and managed care companies for authorization . + Refer patients to outpatient services, either within… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …behavioral health system in the country, our 220-acre main campus, and our network of clinical sites across Michigan. We are a tight-knit community of healers ... work. What Will you Do? As an Assessment & Referral Registered Nurse (ARRN) at Pine Rest, you'll be...including interfacing with insurance and managed care companies for authorization . + Refer patients to outpatient services within or… more