• Referral & Prior Auth Rep III

    University of Rochester (Brockport, NY)
    …care and follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department ... referrals . + Serves as liaison, appointment coordinator, and patient...coordination of scheduled visits and procedures incorporating all incoming referrals to the department. + Conducts data analyses to… more
    University of Rochester (08/07/25)
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  • Medical Office Assistant I

    Bassett Healthcare (Hamilton, NY)
    …a subject matter expert for certain facets of the job (ie Scheduling, Registration, Referrals etc.). Takes a lead in the training of new incoming staff members. ... orientation as requested by supervisors for new employees. Registration/Appointment Scheduling/ Referrals Obtains all information necessary to complete the outpatient… more
    Bassett Healthcare (08/01/25)
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  • Central Insurance Referral Specialist. II - UPMC

    UPMC (Hanover, PA)
    …process within the outpatient sites. Responsible for coordinating specialty referrals and diagnostic testing for outpatient facilities. Pre-certifies diagnostic ... on various policies, procedures, and benefits, related to the need for referrals . Coordinates referrals with patients and specialist's offices, and process… more
    UPMC (07/19/25)
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  • Registered Nurse (Non-Practicing) (Bethesda, MD)

    Ivyhill Technologies LLC (Bethesda, MD)
    …of Right of First Refusal (ROFR) requests, review of Specialty Care Referrals , sustaining up-to-date Specialty Clinic Referral Review tools and booking guidance, ... with Referral and Authorization Business rules, tracking, and resulting of referrals , and full use of Referral Management (RM) information management systems.… more
    Ivyhill Technologies LLC (06/09/25)
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  • Records Technician - 1 1

    MyFlorida (St. Petersburg, FL)
    …OPEN COMPETITIVE Duties and Responsibilities Primary Duties: Specialty Care Operations / Referrals : 1. Retrieve faxes from the electronic fax as needed for referral ... processing. 2. Sort incoming referrals by type of referrals by Urgent and Routine referrals . 3. Review HMS for referral duplication and change services from… more
    MyFlorida (08/08/25)
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  • Clinical Resource Coordinator - Inpatient…

    Sharp HealthCare (San Diego, CA)
    …principles of SCMG guidelines and Health Plan benefit guidelines to approve referrals designated at the CRC level.Investigate and follow-up on all eligibility issues ... in accordance with health plan and SCMG guidelines. + Process Referrals for Prior AuthorizationCoordinate, review and process the more complex referrals for… more
    Sharp HealthCare (08/08/25)
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  • Referral Coordinator

    ChenMed (Jacksonville, FL)
    …and any other entities necessary for successful completion of approved referrals . **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + .Serve as primary point of contact ... for incoming and outgoing patient referrals . Triage referrals , gather necessary information, ensure timely processing and assignment to appropriate providers. +… more
    ChenMed (08/08/25)
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  • CARE Case Manager, Undergraduate Students

    University of Rochester (Rochester, NY)
    …campus departments to support student well-being, collect information about student referrals , and implement programs for various constituents in the university ... Student Case Management + Maintain a caseload of CARE referrals for students in need of additional support. +...of additional support. + Conduct initial review of CARE referrals using the process of gathering data, analyzing through… more
    University of Rochester (08/07/25)
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  • Referral Specialist

    Catholic Health Initiatives (Ringgold, GA)
    …and specialty service office visits. Processes orders for tests and referrals , authorizations and pre-certifications for patients, to ensure timely reimbursements. ... Follows up on all test and referrals to specialist office until the documentation is received and scanned into the system for reconciliation. **Essential Key Job… more
    Catholic Health Initiatives (08/02/25)
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  • Human Services Program Analyst

    MyFlorida (St. Petersburg, FL)
    …within the Specialty Care Program, whose primary functions are to generate medical referrals for specialists in the Pinellas County Health and Health Care for the ... evaluate medical necessity. + Evaluates authorization requests for specialty care referrals in accordance to the established Specialty Care medical grid(Radiology,… more
    MyFlorida (07/31/25)
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