- St. Luke's University Health Network (Allentown, PA)
- …PCP and Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct ... Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- Position Information Posting NumberSRGV8412 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST Number of Vacancies1 LocationEdinburg, Texas ... processing all prior authorizations and referrals and entering the completed referral into the electronic medical record system for claims adjudication to ensure… more
- Aston Carter (Newark, CA)
- …+ Provide orientation and training to new staff as assigned. Essential Skills + Prior authorization experience + Medical and retail pharmacy knowledge + Data ... Job Title: Authorization CoordinatorJob Description The Authorization Coordinator...to communicate with clinical staff members and/or physicians using referral in-basket messages, pools, or telephone encounters in SBAR… more
- Cardinal Health (Nashville, TN)
- …authorization requirements + Ensures compendia compliance and obtains all required authorization and referral information for patients' treatments. + Receives ... and ends when the patient's account balance is zero. Benefits and Authorization Coordinator This position is responsible for reviewing the physician's daily schedule… more
- St. Luke's University Health Network (Bethlehem, PA)
- …Acquire and submit all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion + Obtains knowledge of any ... we serve, regardless of a patient's ability to pay for health care. The Referral Scheduling Specialist is a liaison between the providers and the patients. They are… more
- Aston Carter (Stanford, CA)
- …policies. * Provides orientation and training to new staff as assigned. Skills Prior authorization , Medical, Retail pharmacy, Data entry, Health care, Medical ... terminology, Customer service, Administrative skills Top Skills Details Prior authorization ,Medical,Retail pharmacy,Data entry Additional Skills & Qualifications… more
- Guthrie (Vestal, NY)
- …and within required timeframes and assuring referrals are maintained within appropriate network and/or payer requirement. Remains current on referral policies ... requested that are not authorized by insurance. Education: High school diploma and prior experience with insurance authorization The pay range for this position… more
- Tufts Medicine (Stoneham, MA)
- …under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is ... under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is… more
- Bassett Healthcare (Hamilton, NY)
- … appointment instructions to the patient Communicates with clinicians to bring referral /insurance/ prior authorization updates Acts as a liaison with ... network insurance deductibles and "co-insurance." Acquires medical necessity documentation Obtains prior approval or prior authorization as required by… more
- Luke Staffing (GU)
- …TRICARE benefit for approval. + Ensures Line of Duty paperwork is on file prior to authorization . + Verify eligibility of beneficiaries using Defense Eligibility ... **NURSE - REFERRAL MANAGEMENT** **SITE OF SERVICE:** + Anderson Air...communication between beneficiaries, team members, internal staff and providers, network /outside providers and ancillary health care workers. + Reviews… more