- St. Peters Health (Helena, MT)
- …skills and compassionate competence. 4. Apply medical knowledge and experience for prior authorization requests. 5. Perform detailed medical reviews of ... The UR LPN is responsible for completing utilization reviews, referral to MD advisor service(s) to allow for secondary...prior authorization request or assessment forms according to established criteria… more
- Covenant Health Inc. (Knoxville, TN)
- …+ Verifies insurance coverage on each new referral taken. + Obtains a Prior Authorization and or Recertification when required by the insurance company. + ... Overview Patient Registration Specialist , Patient Services Center Full Time, 80 Hours...referrals and new orders on patients. Responsible for verification, prior authorization , and Recertification of insurance. Negotiates… more
- University of Utah (Salt Lake City, UT)
- …eligibility and suitability of referrals for eye donation; obtains legal authorization and medical/social history from donor families; coordinates the recovery of ... Functions:** + Documenting all information for each potential donor referral in the ULEB referral database. +...to be obtained by the Eye Bank Tissue Recovery Specialist . + Contacting Authorizing Decision Maker of potential eye… more
- MyFlorida (St. Petersburg, FL)
- …County Health and Health Care for the Homeless Plans. Primary Duties : Referral Generation + Evaluates services to achieve and maintain cost effective, quality ... Specialty Care. Develops procedures to evaluate medical necessity. + Evaluates authorization requests for specialty care referrals in accordance to the established… more
- Whidbey General Hospital (Oak Harbor, WA)
- …may be assigned: + Patient Referrals: + Coordinates patients through referral and follow-up care by scheduling with appropriate specialists, facilities, agencies ... is provided to the patient, while documenting all patient referral information in a manner that is clear and...place. + Documents contact person name, eligibility, benefits, referrals, authorization , and any other pertinent information in notes. +… more
- Catholic Health Initiatives (Corning, IA)
- …and provides referral information to both the patient and the referral specialist . + Provides and documents patient/family educational teaching as instructed ... reports to work on time + Completes CPR training prior to annual evaluation. + Adheres to all regulatory...Communicates with patient and their insurance company, to obtain referral and authorization information. + Obtains referrals… more
- PeaceHealth (Bellingham, WA)
- …Understand and adhere to payer standards. + Obtain voluntary admission authorization . Monitor accepted admissions from off hours and follow-up on payer ... authorization . + Complete UR Admission review and Concurrent review...Bachelor of Science in Nursing **Experience** + Strongly Preferred: Prior admission coordination or care management experience. + Strongly… more
- State of Colorado (Denver, CO)
- …License within three (3) years of date of hire) + Adult Basic Education Authorization (ABE) + Colorado Interim Authorization (out of state applicants may be ... Colorado. You may be eligible for the Colorado Interim Authorization click HERE (https://www.cde.state.co.us/cdeprof/coloradoreciprocity) . For more information about… more
- Tidelands Health (Myrtle Beach, SC)
- …multiple resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... system, identifying deductibles, copayments, coinsurance, and policy limitations. Obtains referral , authorization and pre-certification information if needed;… more
- US Physical Therapy (Palmer, AK)
- …verifying existing account information, and ensuring all pertinent information is received prior to scheduling + Thoroughly review the referral for specialty ... to schedule. The NPC works closely with the Benefit Specialist and the Lead NPC to ensure all benefits...and pre-auth needs are obtained, documented within the patient's referral , and handed off to be tracked by the… more