- 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
- 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
- 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)
- …to become proficient. Essential Functions Perform tasks related to the management of prior authorization for patients served by infusion clinics. Reviews medical ... a 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 (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
- St. Luke's University Health Network (Bethlehem, PA)
- …services. + Validates Third party coverage to assure appropriate financial database; obtains prior authorization for visits on an exception basis. + Develops and ... all programs of the Visiting Nurse Association of St. Luke's Hospital & Health Network to build and enhance relationships with referral sources and facilitate… more