- The County of Los Angeles (Los Angeles, CA)
- …new or revised procedures. + Works with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining to ... Medicare and Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the...cases, on referred cases for reconsideration, and to obtain authorization for the issuance of denial letters. + Reviews,… more
- Logan Health (Kalispell, MT)
- …as applicable to assigned area(s). + Consistently problem solves issues effecting patient care. The above essential functions are representative of major ... RN license or a multi state compact license with authorization to practice nursing within the state of Montana;...principles of professional nursing practice to administer and evaluate patient care. + Healthcare Provider (HCP) CPR and/or BLS… more
- Logan Health (Kalispell, MT)
- …as applicable to assigned area(s). + Consistently problem solves issues effecting patient care. The above essential functions are representative of major ... RN license or a multi state compact license with authorization to practice nursing within the state of Montana;...principles of professional nursing practice to administer and evaluate patient care. + Healthcare Provider (HCP) CPR and/or BLS… more
- UPMC (Pittsburgh, PA)
- …service delivery and provides clinical information to patient access representative personnel and insurance providers to ensure authorization for services. ... plan that includes treatment options developed to meet each patient 's needs, including behavioral healthcare. *Production incentives available* **Our Behavioral… more
- Medtronic (Orlando, FL)
- …engages and overcomes customer objections + Effectively plans and educates referral channels to drive expected outcomes + Effectively builds consensus, gains ... within the Responsibilities section of this job description are representative of those that must be met by an...And we deliver results the right way, breakthrough after patient breakthrough. **This life-changing career is yours to engineer**… more
- UPMC (Jamestown, NY)
- …service delivery and provides clinical information to patient access representative personnel and insurance providers to ensure authorization for services. ... partial hospitalization environments - ensuring accessible, integrated care tailored to each patient 's needs. Why UPMC Chautauqua? UPMC Chautauqua is proud to serve… more
- Owens & Minor (Richmond, VA)
- …reimbursement **JOB SUMMARY** Our Operations Account Liaisons support specific branch referral sources and are responsible for maintaining a positive relationship ... and working with new orders, confirming delivery appointments, and obtaining authorization of equipment based on payor guidelines. + Develops strategic relationships… more
- UPMC (Jamestown, NY)
- …service delivery and provides clinical information to patient access representative personnel and insurance providers to ensure authorization for services. ... + Reviews cases and/or groups periodically, as well as serious clinical patient condition changes with supervisor and other clinical personnel as indicated. +… more
- UPMC (Pittsburgh, PA)
- …service delivery and provides clinical information to patient access representative personnel and insurance providers to ensure authorization for services. ... + Reviews cases and/or groups periodically, as well as serious clinical patient condition changes with supervisor and other clinical personnel as indicated. +… more
- BJC HealthCare (St. Louis, MO)
- …care setting encompassing hospital mission, vision and values. **Responsibilities** + Coordinates patient referral procedure by management of work queues, in ... the Role** BJC is searching for a Clinic Services Representative for our GI/Endoscopy group and Barnes Jewish Hospital....baskets and faxes, as well as initiates the pre- authorization process. Runs eligibility in software to confirm insurance… more