- University of Rochester (Rochester, NY)
- …internal equity considerations._ **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… more
- University of Rochester (Rochester, NY)
- …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. Communicates regularly with patients, families, clinical and non-clinical… 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, ... Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910335 Ortho Prior Authorization Work Shift: UR - Day (United States of America) Range: UR… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and ... direction from the flex pool leader and assigned division leader(s), manages referral work queues ensuring appropriate triaging and scheduling of patient visits,… 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)
- …Foregut Surgery. Works regularly with URMC patient registration and clinical information systems. ** Prior Auth Duties 35%** + Performs complex patient prior ... specialist, with oversight of data and compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients,… more
- Intermountain Health (St. George, UT)
- …+ Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior auth for them. Verifies eligibility and benefits. Coordinates ... process. This includes pre-op labs, tests, or any pre-requisite that needs prior attention. Coordinates with Providers and Medical Staff any red flag pre-operative… more
- UNC Health Care (Goldsboro, NC)
- …obtain the pre-certifications/authorizations. Documents communication in the EHR and updates referral statuses. Acts as a representative to complete referrals ... 3. Initiates the authorization/precertification process for referrals in Epic. 4. Update the referral status and auth /cert status in EPIC. 5. Acknowledge and… more