- PeaceHealth (Bellingham, WA)
- …Manage referrals and work closely with team members to ensure optimum utilization and cost containment. Provide clerical support and assistance to staff. **Essential ... data entry and completion of referral forms/notifications. + Obtain insurance pre- authorization for patients and reauthorization of additional treatment. + Ensure… more
- The County of Los Angeles (Los Angeles, CA)
- …response team. + Assists Psychiatrists in completing and checking for accuracy on Treatment Authorization Request (TAR) and Prior Authorization (PA) forms. + ... needs of the service are met and is subject to closure without prior notice. TYPE OF RECRUITMENT Open Competitive Job Opportunity DEFINITION Provides specialized… more
- Arnot Health (Elmira, NY)
- …Assists in tracking/trending by payer for denial reason items such as prior authorization , untimely filing, coordination of benefits, services type issues, ... on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/ prior auth) will review and appeal as appropriate for concurrent and retrospective… more
- St. Luke's University Health Network (Allentown, PA)
- …care. + Arranges for community services (including short and long-term placement) prior to discharge to meet patient's needs with recognition and documentation of ... variances, aspects of patient care management. + Facilitates insurance authorization , pre-certification, and concurrent reviews for assigned patients. + Maintains… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …of standards, insurance company appeals and teleconferences and provision of prior authorization information; e. Participating in the development, ... Order appropriate labs/tests and provide any information required to facilitate authorization of medications. Documentation - Utilize templates endorsed by the… more
- United Therapeutics (UT)
- …utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization , appeal, and/or claims resolution + Educate ... and consultative approach providing education to offices related to insurance authorization and/or reimbursement of products for appropriate patients. + Manage… more
- WellSpan Health (York, PA)
- …members, referral sources and external payers regarding the effective and efficient utilization of program service and available resources as well as the benefit ... those patients recommended for admission. Ensures that this approval is always obtained prior to patient admission to the WSRH. + Recommends other care options, as… more
- HCA Healthcare (Jourdanton, TX)
- …applicable). Minimum License, Certificates, or Registrations Required: ONE of the following prior to the first day of employment: A. Current Registered Pharmacist ... Licensed pharmacist in another state: Provide proof of the Authorization to Test (ATT) from the Texas State Board...as needed to include timely notification of physician and nurse . 3. Provides continual guidance to technical staff as… more
- University of Colorado (Denver, CO)
- …optimization solutions. + Accountable for daily insurance verification accuracy and prior authorization completions for patient visits. **Oversight of Outreach ... patients. **Clinic Description:** **Sheridan Health Services is a multi-site, nurse -managed federally qualified community health center, funded through the Health… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports, ensures clinic setup is closely monitored to ... information from non-VA providers. Instrumental in assisting patients completing authorization forms. Maintains appointment management and coordination of all… more