- Elevance Health (Plano, TX)
- …our specialty pharmacies, our infusion centers, and the home setting. ** Referral Specialist I** **Schedule:** Monday-Friday; Central Time Zone **Location: ... an accommodation is granted as required by law.** The ** Referral Specialist I** is responsible for providing...an impact:** + Initiates and manages clinical referrals for pre- authorization . + Acts as a liaison between hospital, health… more
- Intermountain Health (Wheat Ridge, CO)
- **Job Description:** The Referral Representative processes insurance pre- authorization for primary and specialty service office visits and testing. Receives and ... in this circumstance. Verifies insurance coverage and obtains required authorization when necessary. Documents referral information, communications, actions… more
- Elevance Health (Plano, TX)
- …our specialty pharmacies, our infusion centers, and the home setting. **Title** : Referral Specialist II - Paragon Healthcare **Location:** TX-PLANO, 3033 W ... for employment, unless an accommodation is granted as required by law.** The ** Referral Specialist II** is responsible for providing support to a clinical… more
- Trinity Health (Syracuse, NY)
- …concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist .Call patient ... to who we say we are. **ESSENTIAL DUTIES AND RESPONSIBILITIES** :Obtain insurance authorization from patient's insurance company. This may be done by phone, fax, or… more
- Trinity Health (Syracuse, NY)
- …information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist . + ... are. **ESSENTIAL DUTIES AND RESPONSIBILITIES** : + Obtain insurance authorization from patient's insurance company. This may be done...with appointment information. + Document all stages of the referral in the appropriate data base or in writing… more
- McLaren Health Care (Lansing, MI)
- …per provider request. Ensures that patients receive information regarding their referral prior to their scheduled appointment with the external provider. Ensures ... healthcare provider. 2. Contacts health insurance providers to obtain insurance authorization as needed. 3. Prepares and sends appropriate patient information to… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Fully Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, ... invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and...reviews and merit-based raises + Career growth potential + Annual on-site voluntary Flu Vaccine + Employee referral bonus… more
- Spectrum Billing Solutions (Skokie, IL)
- …Obtain initial and continuing authorization for treatment services. + Manage authorization denials including referral for peer review. + Document and record ... are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR ...necessary information. + Monitor and track new and ongoing authorization cases. + Collaborate and communicate with clinical staff… more
- AmeriHealth Caritas (Philadelphia, PA)
- … source if insufficient information is not available to complete the authorization process. Advises the referral source and requests specific information ... us at www.amerihealthcaritas.com . The Community Health Choices (CHC) Home Modification Specialist works within the scope of the service definition for home… more
- New York State Civil Service (Queens Village, NY)
- …Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 Occupational Category Other Professional Careers Salary Grade 18 ... Duties Description POSITION DESCRIPTION:This position will serve as a Program Operation Specialist 1 (POS1) for a division of the Service Access Program… more