- Intermountain Health (Las Vegas, NV)
- …Utilization Review staff and/or physicians' offices to assure eligibility and authorization requirements are completed within the required timeframe. 4. Communicates ... with the appropriate nursing and/or billing staff when changes are made to the account that will affect the reimbursement. 5. Makes appropriate corrections in the patient's record to ensure accuracy in order to prevent denials and/or problems with billing and… more
- Health Advocates Network (Santa Monica, CA)
- Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend ... & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare… more
- Mayo Clinic (Rochester, MN)
- …retirement package to secure your future. **Responsibilities** The Precertification and Authorization Representative is an intermediate level position that is ... responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and… more
- Covenant Health (Lubbock, TX)
- …patients requiring pre-certifications, referrals, RQI numbers or any kind of authorization from an insurance company. Primary responsibilities include speaking with ... Medical office experience dealing with scheduling, telephone calls, prior pre-certification/ pre- authorization , as well as using an electronic medical record system.… more
- Swedish Health Services (Seattle, WA)
- …Capture defined referral information from Swedish Physician Division providers to specialists and facilities. Verify eligibility and benefits for risk patients. ... Providence caregivers are not simply valued - they're invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your… more
- Bon Secours Mercy Health (Greenville, SC)
- …where associates want to work and help communities thrive. **Patient Services Representative ** - **_St. Francis Eastside_** **Job Summary:** The Patient Services ... Representative is the first line of quality service to our patients and the community. This position will be responsible for processing patient registration,… more
- Catholic Health Services (Melville, NY)
- …explain benefit information, confirm patient responsibility amounts, and secure authorization for services. Scheduling Representative will communicate policies, ... Job Details The part-time Scheduling Representative is responsible for managing incoming and outgoing...with the patient/responsible party the need for pre-certification and/or authorization for tests. + Documentation into Epic + Notify… more
- University of Rochester (Rochester, NY)
- …**Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization representative , with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and...active member of the care team. + Acquire insurance authorization for the visit and, if applicable, any testing;… more
- Henry Ford Health System (MI)
- …with personnel at the clinic site + Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings ... Central Authorization : Supervisor is responsible for functions related to...verified for accuracy prior to claim submission + Managing authorization related denied claims to ensure the highest rate… more
- Leidos (Oak Ridge, TN)
- …positions are filled and maintain liaison and collaboration with the contractor Authorization Official Designated Representative (AODR) and AO. + Ensure ... Executive Leadership Team (ELT) and provide a full inventory of all authorization boundaries, risk identification, and mitigation strategies to the CIO and… more