- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8223 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST (UT Health RGV Cancer and Surgery Center) Number of ... imaging prior authorizations and referrals and entering the completed referral into the electronic medical record system for claims adjudication to ensure… more
- Swedish Health Services (Edmonds, WA)
- …receive services at Stevens Hospital. Coordinates insurance information and pre- authorization requirements with Social Services and Case Management. Providence ... retain the best people, we must empower them. **Required Qualifications:** + Prior experience in admitting, patient accounting or related healthcare field **Why Join… more
- Actalent (Franklin, IN)
- Hiring a Prior Authorization , Certified Medical Assistant! Job Description This position involves working within a podiatry outpatient clinic connected to the ... Enter all check-in/check-out information in the EMR and perform prior authorizations as needed. Notify office referral ...drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500… more
- UPMC (Wexford, PA)
- …work Monday through Friday daylight hours (7am-3:30pm/7:30am-4pm). **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical ... UPMC system and insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize authorization resources… 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
- Guthrie (Binghamton, 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
- Guthrie (Johnson City, NY)
- …and within required timeframes and assuring referrals are maintained within appropriate network and/or payer requirement.| Remains current on referral policies ... are not authorized by insurance. Education: High school diploma and prior experience with insurance authorization The pay range for this position is $17.00 -… 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
- Trinity Health (Grand Rapids, MI)
- …testing in timely fashion with proper documentation. Works denied claims for missing prior authorization or referral within the EMR system. Maintains ... up-to-date knowledge of referral /payer prior authorization requirements, eligibility...to complete pre-certification process. **Care Coordination** Confirms payer is in- network with specialist. If not, contacts patient to discuss… more
- Chenega Corporation (NM)
- …remote ** Referral Specialist** to ensure accuracy and completion of authorization data from customer information, medical records, referral / authorization ... document contents to ensure accuracy and to correct inconsistencies. Prioritizes referral / authorization submissions and forwards documents to appropriate parties… more