- University of Rochester (Rochester, NY)
- …+ Performs and maintains proficiencies of the duties of Referral & Prior Auth Rep III. + Provides training to lower-level staff on all aspects ... of missing referral workqueue, including electronic medical system support, patient record...+ Performs quality assurance monitoring for activities relating to prior -authorization and other areas that affect it, utilizing specific… 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 (Albany, 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
- Intermountain Health (Ogden, 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)
- …scheduling. Documents communication in the Electronic Health Record (EHR) and updates referral statuses. Acts as a representative to complete referrals/schedule ... process for referrals/paper orders by transcribing the orders in Epic. 5. Update the referral status and auth /cert status in EPIC. 6. Acknowledge and respond to… more