- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** 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)
- …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)
- …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, ... 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)
- …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
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** Under the supervision of the Business Services Supervisor, the Prior Authorization Specialist (PAS) is responsible for processing incoming ... referral requests by contacting the Health plans verbally or electronically to obtain prior authorization for services provided and directed by a Kelsey provider.… more
- Northern Light Health (Brewer, ME)
- Northern Light Health Department: Pharmacy - Refill- Auth Program Position is located: Cianchette Professional Blding Work Type: Full Time Hours Per Week: 0.00 Work ... criteria and medical need are essential. The Patient Service Representative will be working with complex scheduling, telephone, and...performance on a daily basis above peer averages. + Referral calls are made to PCP for Managed Care… more