- 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
- 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
- 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
- Henry Ford Health System (Troy, MI)
- …GENERAL SUMMARY: Unit Description: Health Alliance Plan (HAP) is looking to grow our Prior Authorization Team with experienced Registered Nurses! We are a team ... RN REFERRAL MANAGEMENT COORDINATOR (VIRTUAL) - PRIOR ...care, this is the team for you! + Processes referral requests by verifying network assignment, correct… 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
- St. Luke's University Health Network (Bethlehem, PA)
- …services. + Validates Third party coverage to assure appropriate financial database; obtains prior authorization for visits on an exception basis. + Develops and ... all programs of the Visiting Nurse Association of St. Luke's Hospital & Health Network to build and enhance relationships with referral sources and facilitate… more
- Eastern Connecticut Health Network (Manchester, CT)
- …for patient movement across the system. Assists with verification of benefits, and prior authorization for services to ensure payment with perspective insurance ... behavioral health from surrounding hospitals. + Perform insurance benefit verifications and prior authorization for admission. + Ensure all medical admission… more
- Cambridge International Systems Inc (Doral, FL)
- …International Systems, Inc. has a full-time Department of Defense Information Network (DoDIN) Operations Lead opportunity available based in Doral, FL. Qualified ... Command has an exciting, challenging opportunity for someone versed in DoD network infrastructure and architecture. Person hired for our Department of Defense… more
- EAC Network (Hempstead, NY)
- …initial screening for each client. + Contact commercial plans for precertification, prior authorization , and follow-up recertification for new and existing ... Shift Day Job Category Nonprofit - Social Services EAC Network , a not-for-profit social service agency that empowers, assists,...purchase order requisitions. + Compile and maintain list of referral sources and send monthly emails with referral… more
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