- St. Luke's University Health Network (Orwigsburg, PA)
- …serve, regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination ... information. + Provides insurance company with clinical information necessary to secure prior - authorization or referral . + Works in alignment with Central… more
- Glens Falls Hospital (Saratoga Springs, NY)
- …coordination of benefit * Prepare and compile necessary documentation to secure prior authorization . Collect clinical information regarding service to be ... Come join our team of insurance experts as the Referral & Authorization Specialist! This position can.../ secure payment arrangements * Contact provider/payer to obtain prior authorization * Gather additional clinical and… more
- Glens Falls Hospital (Glens Falls, NY)
- …& coordination of benefit . Prepare and compile necessary documentation to secure prior authorization . . Collect clinical information regarding service to be ... Come join our team of insurance experts as the Referral & Authorization Specialist! This position can.../ secure payment arrangements . Contact provider/payer to obtain prior authorization . Gather additional clinical and… more
- Select Medical (West Orange, NJ)
- …for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ ** Prior Authorization Specialist/ Payor Relations Specialist ( RN , LPN )** ... and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute… more
- University of Rochester (Rochester, NY)
- …and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization specialist, with oversight ... of data and compliance to enterprise standards and referral and prior authorization guidelines....reconcile any discrepancies and/or answer any questions. Escalates case management when medical assessment is needed. Prioritizes referral… more
- University of Rochester (Rochester, NY)
- …GENERAL PURPOSE Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with ... case management when medical assessment is needed. + Prioritizes referral requests using medical protocols, responding immediately and expediting most urgent… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Experience in Medi-Cal managed care. 1 year of experience in UM/ Prior Authorization . Skills Required: Demonstrated proficiency in Medical Terminology ... Authorization Technician II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
- UPMC (Wexford, PA)
- …and core values of UPMC in the performance of duties. Responsibilities: + Prior authorization responsibilities: + 1. Reviews and interprets medical record ... 18+ UPMC system and insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services + .4. Utilize authorization … more
- UPMC (Pittsburgh, PA)
- …18+ UPMC system and insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services. + Utilize authorization ... resources along with any other applicable reference material to obtain accurate prior authorization . + Resolves basic authorization edits to ensure timely… more
- WesleyLife (Urbandale, IA)
- …and re- authorization . + Responds appropriately to resolve conflicts, seeking management assistance as appropriate. + Scans insurance documents as needed for ... purpose. Come be a part of the revolution! **About the Role: Insurance Authorization & Verification Specialist** As a Insurance Authorization & Verification… more
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