- University of Rochester (Rochester, NY)
- …+ Performs and maintains proficiencies of the duties of Referral & Prior Auth Rep III. + Provides training to lower-level staff on all aspects ... of missing referral workqueue, including electronic medical system support, patient record...+ Performs quality assurance monitoring for activities relating to prior -authorization and other areas that affect it, utilizing specific… more
- University of Rochester (Rochester, NY)
- …PURPOSE Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- University of Rochester (Rochester, NY)
- …PURPOSE With minimal direction and considerable latitude for independent judgement, the referral coordinator is responsible for all aspects of the referrals made to ... nursing homes across the state of New York. The referral coordinator adheres to approved protocols for working with...decisions that are guided by protocols and practices. The referral coordinator maintains an expert level of understanding of… more
- University of Rochester (Rochester, NY)
- …+ Provides training to lower level staff on all aspects of referral work, including electronic medical system support, patient record review, appointment and/or ... ancillary test scheduling, procedural scheduling, knowledge of provider sub-specialties, and collection of additional information from provider or electronic medical system to submit to insurance carrier when needed. + Performs quality assurance monitoring for… more
- University of Rochester (Rochester, NY)
- …work, financial case management, clinical team and contracting. The Health Insurance & Auth Rep is ultimately responsible for minimizing any delays from ... + Identify and confirm uninsured and underinsured patients for appropriate referral to Medicaid Enrollment & Outreach for possible Medicaid application and… more
- University of Rochester (Rochester, NY)
- …and completeness of insurance and demographic information to ensure case is secure prior to discharge. Identifies problems that include but are not limited to ... to cognitive barriers or medical intensity and ensure their or surrogate representative 's ultimate participation in the case management process. + Perform ongoing… more
- UNC Health Care (Goldsboro, NC)
- …scheduling. Documents communication in the Electronic Health Record (EHR) and updates referral statuses. Acts as a representative to complete referrals/schedule ... process for referrals/paper orders by transcribing the orders in Epic. 5. Update the referral status and auth /cert status in EPIC. 6. Acknowledge and respond to… more
Locations:
New York,
North Carolina