- St. Luke's University Health Network (Allentown, PA)
- …Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is ... ability to pay for health care. Responsible for accurate and timely pre -registration, submission of prior authorizations for SLPG Primary Care and Specialty… more
- UNC Health Care (Goldsboro, NC)
- …improve the health and well-being of the unique communities we serve. Summary: The Pre - Arrival Authorization Specialist I will serve patients/customers and ... pre -certifications/authorizations. Documents communication in the EHR and updates referral statuses. Acts as a representative to complete referrals and financial… more
- University of Virginia (Charlottesville, VA)
- …service to both referring physicians as well as referred patients. Obtains pre - authorization for all diagnostic tests and performs additional administrative ... handled effectively and efficiently. + Analyzes information required to complete pre - authorizations with insurance carriers and service area contacts. +… more
- UPMC (Pittsburgh, PA)
- …related activities including pre -authorizations, notifications, edits, denials, etc.The Authorization Specialist shall demonstrate the philosophy and core ... **UPMC University of Pittsburgh Physicians is hiring a full-time Authorization Specialist to join their team at...using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral / pre -notification/ authorization services timely to avoid… more
- Bon Secours Mercy Health (Virginia Beach, VA)
- …treatment and prevent claims denials for missing/invalid pre -certification/ authorization . Duties include monitoring assigned Authorization / Referral ... Town Center Location (this is not a hybrid or remote position) **Insurance Authorization Specialist - Full-Time, Outpatient PT/OT/ST** Position acts as the… more
- UPMC (Pittsburgh, PA)
- …being rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in ... University of Pittsburgh Physicians is hiring a full-time Authorization Specialist to support UPMC Vision Institute, Mercy Pavilion. This role will work Monday… more
- UPMC (Pittsburgh, PA)
- …being rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in ... **UPMC Department of Plastic Surgery is hiring a Part-Time Authorization Specialist . This is a Monday-Friday, daylight position. No nights, weekends, or… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a ** Referral / Pre -Auth Specialist - Remote for a Full Time, 1.00 FTE, Day position** . **Hours:** 8:30am - 5:00pm. The ... **Essential Functions** + Oversees the data entry and completion of referral forms/notifications. Obtains insurance pre - authorization for patients… more
- Baptist Memorial (Memphis, TN)
- …+ Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Denial Mitigation ... Summary Authorization Denial Specialist ensures that chemotherapy...per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre -certifications/prior-authorizations per payer guidelines prior to services being rendered… more
- TEKsystems (San Antonio, TX)
- …between a referral and authorization . Obtains insurance authorization and pre -certification specifically for chemotherapy services. . Works as a ... and financial resources. . Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for… more
- Bon Secours Mercy Health (Greenville, SC)
- …for clinical and operational excellence. Job Responsibilities: + Obtains Precertification/ Authorization and benefits for all therapy patients. + Assigns therapy ... appointments to the referral for accurate benefit tracking + Work incoming therapy referral work queue. + Calls/sends My chart messaging to scheduling patients +… more
- UPMC (Lancaster, PA)
- …for authorization , if applicable. + Sends appointment request to specialist with appropriate patient records. Processes insurance referral if applicable. ... Referral team is looking for a Central Insurance Referral Specialist to join their fast-paced team...other duties as assigned by manager. + Utilizes electronic referral and authorization services as available. +… more
- Banner Health (Glendale, AZ)
- …practice. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being ... you. Apply now. This position is responsible for coordinating referral orders for a continuation of treatment, such as...provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior… more
- Catholic Health Initiatives (Chattanooga, TN)
- …to join our nationally recognized hospital, connect with us today! **Responsibilities** The Referral Specialist works with patients requiring a referral for ... to a specialist office, to ensure patient's referral needs are fulfilled for tests and specialty service...of information between medical clinic and patients insurance for referral authorization to secure a valid … more
- Elevance Health (Plano, TX)
- …our specialty pharmacies, our infusion centers, and the home setting. **Title** : Referral Specialist III - Paragon Healthcare **Location** : 3033 W President ... - Friday, 9:00am-6:00pm **Build the Possibilities. Make an Extraordinary Impact.** The ** Referral Specialist III** is responsible for issues involving the… more
- Beth Israel Lahey Health (Boston, MA)
- …medical care and surgical procedures. The primary responsibility of the Referral Specialist will be to obtain prior authorization and approval directly from ... trains administrative assistants and practice assistants in the area of Referral Management and Pre -Registration. Participates in administrative staff meetings… more
- AdventHealth (Winter Park, FL)
- …Mizell Ave Ste 1600 Winter Park 32792** **The role you'll contribute:** The Referral Specialist is responsible to facilitate and coordinate patient care within ... clinical staff, health plans, providers, and patients to process referrals. The Referral Specialist will assist patients in meeting their insurance and… more
- Elevance Health (Lawndale, CA)
- ** Referral Specialist I** **Location:** California (Downey, Fullerton, Lawndale, Long Beach, or Whittier) **Hours:** Monday - Friday, from 8 am - 5 pm PST The ** ... Referral Specialist I** is responsible for providing...Referral Specialist I** is responsible for providing support to a...an impact:** + Initiates and manages clinical referrals for pre - authorization . + Acts as a liaison between… more
- Elevance Health (Plano, TX)
- …through our specialty pharmacies, our infusion centers, and the home setting. Title: ** Referral Specialist II - Patient Access** Location: **3033 W President ... the business hours of 7:00am to 7:00pm (CST).** The ** Referral Specialist II** is responsible for providing...coverage. + Verify insurance coverage, determines OOP, and obtains authorization or pre -determination for medical and pharmacy… more
- LA Care Health Plan (Los Angeles, CA)
- …Technical Support to UM Specialist : Processing of time sensitive authorization and pre -certification requests to meet department timeframes and regulatory ... safety net required to achieve that purpose. Job Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling… more