- Independent Health (Buffalo, NY)
- …Dental, Vision, 401K, and paid time off (PTO), including company paid holidays. The Provider Relations Representative position offers an opportunity to begin ... from the office depending on business needs. **Overview** The Provider Relations Representative will be...incoming calls from health care providers including physician offices, ancillary provider offices and facilities and aid… more
- University of Rochester (Rochester, NY)
- …GENERAL PURPOSE: Serves as the patient referral and prior authorization representative , with oversight of data and compliance to enterprise standards and ... assure the appropriate appointment/procedure is schedule with the appropriate provider ; ensuring that accurate patient demographic and current insurance information… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Provider Relations Representative is responsible for day-to-day, front-line relationship ... years of health care or managed care experience working with providers (eg, provider relations , claims education) + Experience working with physical health… more
- Humana (Fairfax, VA)
- …a part of our caring community and help us put health first** The Provider Relations Representative is responsible for day-to-day, front-line relationship ... + Ensure compliance with all Virginia managed care contractual requirements for provider relations , such as timeframes for claims dispute resolution, … more
- University of Rochester (Rochester, NY)
- …to date along with supporting documentation will be provided. + Notify the relevant provider and provide the physician with needed documentation and summary of ... for all external referrals into Epic following approved protocols. Coordinates any ancillary testing and obtains any outside records needed for patient appointment.… more
- University of Rochester (Rochester, NY)
- …ensure the appropriate appointment/procedure is scheduled with the appropriate provider , ensuring accurate patient demographic and current insurance information is ... record verification. May perform complex appointment scheduling, linking referrals, and ancillary services for the assigned specialty service. Provides patients with… more
- University of Rochester (Rochester, NY)
- …including electronic medical system support, patient record review, appointment and/or ancillary test scheduling, procedural scheduling, knowledge of provider ... Serves as a critical member of the department to provider support to areas in need and provicer direction...to submit to insurance carrier when needed. - Ensures ancillary testing and other specialty referrals have been executed… more
- University of Rochester (Rochester, NY)
- …experience of previous authorization requests, denials and approvals. On behalf of the provider and the University, perseveres with the process to ensure as many ... applications are approved as possible without provider intervention. + Determines relevant information needed, based on previous authorization request experience for… more
- University of Rochester (Rochester, NY)
- …not limited to, providers' time and calendar management while optimizing provider patient schedule, coordination of patient care and information/data support. ... the care of these patients. TYPICAL DUTIES: - Schedule procedures, appointments and ancillary tests with input from physicians and other health care personnel. … more
- Banner Health (Greeley, CO)
- …patient care. Utilizes special knowledge, judgment and skills necessary to provide appropriate patient care. CORE FUNCTIONS 1. Performs registration processes, ... test results to patient. Acts as a resource to clinician in order to provide optimal patient care. 4. Optimizes patient flow by using effective customer service… more
Recent Searches
- career development associate store (United States)
- senior spectrum manager (United States)
- emc storage architect (United States)
Recent Jobs
-
Lead Infrastructure Engineer - Network Engineer
- JPMorgan Chase (Jersey City, NJ)
-
Application Developer Cloud FullStack
- CTG (Phoenix, AZ)
-
Software Dev Engineer II, Amazon
- Amazon (Seattle, WA)
-
Senior Disaster Recovery Architect
- Centene Corporation (Richmond, VA)