- Sanford Health (Clark, SD)
- …responsibilities; initiation and collaboration of patient/resident financial assistance; prior authorization ; track patient/resident visits; health information ... patient/resident appointments and procedures, obtains and coordinates referrals, conducts pre- authorization , arranges interpreter services, checks patients/residents in/out, and offers… more
- HCA Healthcare (Nashville, TN)
- …claims. Generate emergency reports/authorizations for all received claims which lack prior authorization . Adjudicate third party liability and coordination of ... contracts. Understand Plan contracts, provider pricing, member eligibility, referral authorization procedures, benefit plans and capitation arrangements and processes… more
- Robert Half Office Team (Beaverton, OR)
- …knowledge. The Medical Receptionist will enter and review referrals and prior authorization requests, including researching and obtaining additional information ... knowledge of insurance plan benefits, regulations, care coordination, and authorization functions. Knowledge of medical terminology and coding. Excellent… more
- Tidelands Health (Georgetown, SC)
- …multiple resources for patient services. Will also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... identifying deductibles, copayments, coinsurance, and policy limitations. Obtains referral, authorization and pre-certification information if needed; documents this information… more
- Molina Healthcare (AZ)
- …to plan members. * Provides leadership and expertise in performance of prior authorization , inpatient concurrent review, discharge planning, care management and ... mentors and develops medical director staff as needed. * Ensures that authorization decisions are rendered by qualified medical personnel and without hindrance due… more
- Senior Care Therapy (Franklin, NJ)
- …carrier communication. + Accurate document coverage details, copayments, deductibles, prior authorization requirements, and plan limitations. Prepare and ... and correct rejected claims for prompt resubmission + Submit and follow up on authorization requests. + Follow up on denied or unpaid claims and work to resolve… more
- Tidelands Health (Murrells Inlet, SC)
- …multiple resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... + Assisting with procedures. + Preparing and administering medications with physician's authorization , + Performing EKGs. + Using CPR skills when required. + Drawing… more
- Guthrie (Binghamton, NY)
- …safe and timely dispensing of the medication for the patient as needed. Medication Prior Authorization + Collect necessary documentation and submit it to the ... Medication Cancellation notifications + Electronic Refill Requests + System generated Medication Authorization Request + Staff Messages + Provider In basket - when a… more
- Bassett Healthcare (Cooperstown, NY)
- …supervisor or manager + Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from you ... the facility. Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and directions. Explains rules… more
- AssistRx (Orlando, FL)
- …Brand Teams (required). + Strong understanding of specialty pharmacy workflows, prior authorization processes, benefits verification, copay programs, or HUB ... employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position. AssistRx does not accept… more