- BrightSpring Health Services (Louisville, KY)
- …with referral sources, guiding families through the intake and authorization process, and obtaining all required documents from physicians and other providers ... Work with the authorization team to ensure all eligibility checks and prior authorizations are completed. + Communicate authorization status and next steps… more
- UnityPoint Health (Moline, IL)
- … and Prior Auth Mgmt + Shift: 8-5 + Job ID: 176100 Overview Referral Specialist Monday-Friday 8:00AM-5:00PM Full Time Benefits As a Referral ... within our healthcare ecosystem. You will be entrusted with overseeing the entire referral process, ensuring a smooth transition from the initial receipt of the … more
- AmeriHealth Caritas (Philadelphia, PA)
- …Operating Procedures, and Policies and Procedures, as defined by CHC Agreement ( Prior Authorization , Concurrent Review) + Assessing and applying Medical ... source if insufficient information is not available to complete the authorization process. Advises the referral source and requests specific information… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …findings per facility procedures. l. Reviews and evaluates requests for assigned prior authorization drugs as assigned for appropriateness and compliance with ... Summary The Clinical Pharmacy Specialist serves as a provider with prescribing privileges...objectives measures. Clinical pharmacy specialists will determine if a referral to the physician is necessary when disease progression… more
- New York State Civil Service (Poughkeepsie, NY)
- …Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 Occupational Category Other Professional Careers Salary Grade 18 ... Office Quality Review and Quality Assurance as related to OPWDD service authorization .* Participate in local and statewide meetings and other trainings and… more
- State of Colorado (Greeley, CO)
- Assessment Specialist , Social Work / Counselor III - Platte Valley Youth Services Center Print ... (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5165211) Apply Assessment Specialist , Social Work / Counselor III - Platte Valley Youth Services… more
- Rochester Institute of Technology (Rochester, NY)
- …from clinical providers, pursue insurance authorization for medications, imaging and specialist referrals as required. + Clinical referral process + Use the ... **9779BR** **Position Title:** Senior Clinical Staff Specialist **Organization:** Student Health Center **Job Responsibilities:** +...+ Prior authorization + Using information… more
- Marshfield Clinic (Minocqua, WI)
- …Access Specialist Team Lead activities include appointment scheduling, referral completion, authorization for visit, pre-registration, and registration. This ... most exciting missions in the world!** **Job Title:** Patient Access Specialist Team Lead Float **Cost Center:** 101461274 Registration-Acute-MQA Reg **Scheduled… more
- Sanford Health (Fargo, ND)
- …Summary** The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc.; ... determines if insurance meets prior authorization criteria. Collects necessary documentation and communicates with third party payers, healthcare professionals… more
- Omaha Children's Hospital (Omaha, NE)
- …order is pending a future start date, then the insurance verification, assessment for authorization may be completed prior to the start date. * Authorization ... Overview** Receives information for new or existing patients from referral source or parent/caregiver. Completes insurance verification, authorizations, patient… more