- St. Luke's University Health Network (Allentown, PA)
- …PCP and Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct ... Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a… more
- Covenant Health (Lubbock, TX)
- …+ 2 years 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
- HonorHealth (AZ)
- …become proficient. Essential Functions + Perform tasks related to the management of prior authorization for patients served by infusion clinics. Reviews medical ... respectful demeanor. + Facilitates problem solving with clinical departments, providers, referral sources, insurance companies and authorization staff. Assists… 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
- Trinity Health (Grand Haven, MI)
- …testing in timely fashion with proper documentation. + Works denied claims for missing prior authorization or referral within the EMR system. + Confirms ... a medical office required. + Extensive knowledge of the insurance market & prior authorization requirements. + Billing and coding knowledge and experience… 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
- Praxis Health (Bend, OR)
- …and we value our employees. Benefit Highlights: + Medical, Dental, Vision with In- Network & Custom Network discounts + 401(K) with discretionary employer match ... testing performed in house Duties of this position will include obtaining prior authorizations for services that are not customary plan benefits, calling on… more
- Hartford HealthCare (North Haven, CT)
- …different specialties. *_Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to obtain ... you to become part of Connecticut's most comprehensive healthcare network . Hartford HealthCare Medical Group is one of the...clinical departments, as applicable. . Monitors and reviews the prior authorization work queue daily to verify… 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